Individual
FREDERICK H GOULD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1411 N TAYLOR DR, SHEBOYGAN, WI 53081-3043
(920) 496-4700
Mailing address
1411 N TAYLOR DR, SHEBOYGAN, WI 53081-3043
(920) 496-4700
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
41114-020
WI
207PE0005X
Undersea and Hyperbaric Medicine (Emergency Medicine) Physician
41114-20
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
32551100
—
WI
01
—
P00040990
MEDICARE RAILROAD
WI
Enumeration date
06/03/2006
Last updated
08/06/2014
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