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Individual

DR. ARLENE M GOLD

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
O.D.

Contact information

Practice address
4646 JOHN R ST, DETROIT, MI 48201-1916
(313) 576-1000
Mailing address
4732 MAURA LN, WEST BLOOMFIELD, MI 48323-3628
(248) 851-5720
(313) 576-1001

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
290035
WI
152W00000X
Optometrist
Primary
4901003579
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
900H267680
BLUE CROSS SHIELD PROVIDE
MI
Enumeration date
07/12/2006
Last updated
07/08/2007
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