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Individual

DR. STEVEN MARK GOULD

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
OD

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
1670
IA
152W00000X
Optometrist
Primary
4901004415
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
4956961
MI
05
4956970
MI
05
4956980
MI
01
900E300160
BLUE CROSS BLUE SHIELD OF MICHIGAN
MI
01
900F410030
BCBS OF MICHIGAN
MI
01
P00349762
RAILROAD MEDICARE
MI
Enumeration date
02/14/2006
Last updated
06/14/2010
Update your record

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