Individual
KATHERINE JO GOLD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
24 FRANK LLOYD WRIGHT DR, LOBBY H, ANN ARBOR, MI 48105-9484
(764) 647-5640
Mailing address
3621 S STATE ST, ANN ARBOR, MI 48108-1633
(734) 647-5299
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
4301079126
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4781758
—
MI
Enumeration date
10/10/2006
Last updated
10/21/2019
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