Individual
SUSAN H GOULD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3611 HARBOR DR, ROCK FALLS, IL 61071-2227
(815) 973-8410
Mailing address
3611 HARBOR DR, ROCK FALLS, IL 61071-2227
(815) 973-8410
(815) 285-5865
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
036067012
IL
207P00000X
Emergency Medicine Physician
Primary
2014012871
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036067012
—
IL
Enumeration date
01/27/2006
Last updated
04/22/2024
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