| 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 | Sarah L Rawski |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1861863979 PECOS PAC ID: 2163725516 Enrollment ID: I20160120000185 |
| Provider Name | Rachel Kernan |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1740945963 PECOS PAC ID: 6608260294 Enrollment ID: I20220224001418 |
| Provider Name | Nicole Elise Hill |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1164174553 PECOS PAC ID: 5193110237 Enrollment ID: I20220328000893 |
| Provider Name | Olivia Madeline Shaw |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1720740665 PECOS PAC ID: 9032594536 Enrollment ID: I20220920001853 |
| Provider Name | Lisa Renee Phillion |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1508743758 PECOS PAC ID: 3779061262 Enrollment ID: I20260127002775 |
| Provider Name | Ryan Edward Zimmer |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1477364610 PECOS PAC ID: 5991280083 Enrollment ID: I20260326002548 |
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