| Gregroy E. Gould D.o. | |
|
60005 Campground Rd Suite 600 Washington MI 48094-3445 | |
| (586) 372-3500 | |
| (586) 372-3503 |
| Full Name | Gregroy E. Gould D.o. |
|---|---|
| Speciality | Internal Medicine |
| Location | 60005 Campground Rd, Washington, Michigan |
| Authorized Official Name and Position | Gregory E Gould (PRESIDENT/OWNER) |
| Authorized Official Contact | 2488530800 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Gregroy E. Gould D.o. 60005 Campground Rd Suite 600 Washington MI 48094-3445 Ph: (586) 372-3500 | Gregroy E. Gould D.o. 60005 Campground Rd Suite 600 Washington MI 48094-3445 Ph: (586) 372-3500 |
| NPI Number | 1336348002 |
|---|---|
| Provider Enumeration Date | 07/13/2007 |
| Last Update Date | 05/17/2016 |
| Medicare PECOS PAC ID | 1557456639 |
|---|---|
| Medicare Enrollment ID | O20071004000256 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336348002 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 5101015338 (Michigan) | Primary |
| Provider Name | Gregory E Gould |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1962446468 PECOS PAC ID: 5991711848 Enrollment ID: I20060301000480 |
| Provider Name | Mary Grace Ball |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1841722790 PECOS PAC ID: 6204105174 Enrollment ID: I20170707003105 |
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