Individual
MICHAEL ROBERT GOULD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
745 US HIGHWAY 31 N, UNIT D, GREENWOOD, IN 46142-3998
(317) 859-9397
Mailing address
5865 BROUSE AVE, INDIANAPOLIS, IN 46220-2842
(317) 722-1928
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
18002511
IN
Other
Enumeration date
02/11/2007
Last updated
07/08/2007
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