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Organization

KIRK E GOLD DPM PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. KIRK EDWARD GOLD DPM (PRESIDENT)
(248) 669-3870
Entity
Organization

Contact information

Practice address
2075 E WEST MAPLE RD, SUITE B-207, COMMERCE TOWNSHIP, MI 48390-3816
(248) 669-3870
(248) 669-3866
Mailing address
2075 E WEST MAPLE RD, SUITE B-207, COMMERCE TOWNSHIP, MI 48390-3816
(248) 669-3870
(248) 669-3866

Taxonomy

Speciality
Code
Description
License number
State
213ES0131X
Foot Surgery Podiatrist
Primary
5901001886
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
4448819
MI
Enumeration date
01/12/2007
Last updated
10/23/2014
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