Gautreau, Marc Austin

Gautreau, Marc Austin is an individual health care provider with primary practice located at 300 Pasteur Dr , Stanford CA 94305-2200. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medical Services, Allopathic & Osteopathic Physicians / Emergency Medicine. Allopathic & Osteopathic Physicians / Emergency Medicine is his primary health care specialty. Gautreau, Marc Austin can be contacted via phone (650) 723-4000.

Contact Information

Primary practice address
300 Pasteur Dr Stanford CA 94305-2200
Phone: (650) 723-4000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medical Services 207PE0004X C147866 California
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X C147866 California
Allopathic & Osteopathic Physicians / Emergency Medical Services 207PE0004X 153729 Massachusetts
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 153729 Massachusetts

Profile Details

NPI number 1932182185
LBN Legal business name Gautreau, Marc Austin
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 22nd, 2005
Last updated Mar 20th, 2024 - about 8 months 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 1932182185 NPPES
Massachusetts MEDICAID 110060396A

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