Harold A Conrad, MD Valid NPI

Individual provider · Pediatric Gastroenterology Physician · Grand Rapids, MI

NPI

1689644650

Type

Individual (Type 1)

Primary specialty

Pediatric Gastroenterology Physician (Pediatrics)

Specialty group

Allopathic & Osteopathic Physicians

Taxonomy code

2080P0206X

License number

4301071191 (MI)

Sex

Male

Sole proprietor

No

Enumerated

2006-01-24

Last updated

2022-01-04