Individual
DR. LAURA JOAN GOTTFRIED
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1105 6TH ST, TRAVERSE CITY, MI 49684-2345
(231) 935-0499
Mailing address
PO BOX 209, LIMA, OH 45802-0209
(866) 942-0836
(419) 223-2726
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
4301057575
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
220025505
RAILROAD MEDICARE
MI
05
—
4110029
—
MI
Enumeration date
07/26/2006
Last updated
09/18/2023
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