Individual
DR. MARK DAVID GOULD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.P.M.
Contact information
Practice address
32730 WALKER RD, SUITE I-3, AVON LAKE, OH 44012-4100
(440) 933-4021
(440) 933-7132
Mailing address
32730 WALKER RD, SUITE I-3, AVON LAKE, OH 44012-4100
(440) 933-4021
(440) 933-7132
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
36.002416
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
480004004
RAILROAD MEDICARE
OH
Enumeration date
03/02/2006
Last updated
05/29/2008
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