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Individual

JAMISON MARK GOULD

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
CRNA

Contact information

Practice address
800 S WASHINGTON AVE, SAGINAW, MI 48601-2551
(989) 776-8000
Mailing address
255 W MICHIGAN AVE, JACKSON, MI 49201-2218
(517) 787-6440
(517) 787-4146

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
11073
WI
367500000X
Certified Registered Nurse Anesthetist
Primary
4704194062
MI

Other

Enumeration date
10/02/2006
Last updated
11/17/2022
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