Gauthier, Marie G

Gauthier, Marie G is an individual health care provider with primary practice located at 515 Mulholland St , Bay City MI 48708-7644. She recently has only one registered license in Allopathic & Osteopathic Physicians / Otolaryngology, which is considered as her primary health care specialty. Gauthier, Marie G can be contacted via phone (989) 892-3541.

Contact Information

Primary practice address
515 Mulholland St Bay City MI 48708-7644
Phone: (989) 892-3541
Fax: (989) 892-5336
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Otolaryngology 207Y00000X 4301044702 Michigan

Profile Details

NPI number 1902896111
LBN Legal business name Gauthier, Marie G
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 27th, 2005
Last updated Jun 21st, 2010 - about 14 years ago

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 1902896111 NPPES
Michigan MEDICAID 1405068
Michigan Other 0987594
Michigan Other 0400900151

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