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Individual

KIRK EDWARD GOLD

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DPM

Contact information

Practice address
2075 E WEST MAPLE RD, SUITE B-207, COMMERCE TOWNSHIP, MI 48390-3816
(248) 669-3870
(248) 669-3866
Mailing address
2075 E WEST MAPLE RD, SUITE B-207, COMMERCE TOWNSHIP, MI 48390-3816
(248) 669-3870
(248) 669-3866

Taxonomy

Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
KG001886
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
4448819
MI
Enumeration date
04/14/2006
Last updated
10/23/2014
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