Individual
GERARD JOSEPH GOLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1722 SHAFFER ST, STE #1, KALAMAZOO, MI 49048-1633
(269) 381-3963
Mailing address
1722 SHAFFER ST, STE #1, KALAMAZOO, MI 49048-1633
(269) 381-3963
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5601005826
MI
Other
Enumeration date
09/02/2010
Last updated
07/06/2012
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