Organization
ORCHARD LAKE FOOTCARE SPECIALISTS, P.L.L.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GERALD GOLD D.P.M. (OWNER)
(248) 682-6662
Entity
Organization
Contact information
Practice address
3206 ORCHARD LAKE RD, ORCHARD LAKE, MI 48324-1633
(248) 682-6662
(248) 682-2850
Mailing address
3206 ORCHARD LAKE RD, ORCHARD LAKE, MI 48324-1633
(248) 682-6662
(248) 682-2850
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
480F37410
BCBSMI
MI
Enumeration date
01/25/2006
Last updated
01/17/2008
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