Gottfried, Laura Joan

Gottfried, Laura Joan is an individual health care provider with primary practice located at 1105 6Th St , Traverse City MI 49684-2345. She recently has only one registered license in Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology, which is considered as her primary health care specialty. Gottfried, Laura Joan can be contacted via phone (231) 935-0499.

Contact Information

Primary practice address
1105 6Th St Traverse City MI 49684-2345
Phone: (231) 935-0499
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology 207ZP0102X 4301057575 Michigan

Profile Details

NPI number 1205850088
LBN Legal business name Gottfried, Laura Joan
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 26th, 2006
Last updated Sep 18th, 2023 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1205850088 NPPES
Michigan MEDICAID 4110029
Michigan Other 220025505

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