Individual
DR. JONATHAN G GOLD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
804 SERVICE RD # A110, EAST LANSING, MI 48824-7015
(517) 353-3003
(517) 353-5514
Mailing address
804 SERVICE RD # A201, EAST LANSING, MI 48824-7015
(517) 884-2976
(517) 432-3928
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
4301077191
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1881602316
—
MI
05
—
4255483
—
MI
Enumeration date
08/03/2006
Last updated
08/29/2016
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