Individual
HAROLD A CONRAD
Active
Individual
HAROLD A CONRAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
2080P0206X
Pediatric Gastroenterology Physician
Primary
4301071191
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0M74460050
MEDICARE ID
MI
01
—
1558407189
GROUP NPI
MI
01
—
1922090554
GROUP NPI
MI
05
—
3389769
—
MI
01
—
350D176310
BCBS GROUP
MI
Enumeration date
01/24/2006
Last updated
01/04/2022
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
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