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NPI Lookup from the NPI Registry — National Provider Identifier Database

Contact Information

HAROLD A CONRAD, MD
35 MICHIGAN NE
SUITE 4150
GRAND RAPIDS, MI49503
 Phone: 616-267-2100
 Fax: 616-267-2101
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pediatric Gastroenterology

2080P0206X 37 Physician/Pediatric Medicine
Indicates primary specialty

NPI Profile & details for HAROLD A CONRAD · (Male)

NPI Number 1689644650
Credentials MD
Entity Individual
Enumeration date 01/24/2006
Last updated 08/18/2011 - About 5 years ago
Sole proprietor 1 No
Identifiers
MI License # 4301071191
MI Medicaid 3389769
MI Medicare UPIN D16135
MI Other 350D176310 BCBS GROUP
MI Other 1558407189 GROUP NPI
MI Other 1922090554 GROUP NPI
MI Other 0M74460050 MEDICARE ID
Hospital affiliation(s) n/a
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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