Gutierrez, Carlos M

Gutierrez, Carlos M is an individual health care provider with primary practice located at 2333 Biddle St , Wyandotte MI 48192-4668. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Gutierrez, Carlos M can be contacted via phone (313) 284-9400.

Contact Information

Primary practice address
2333 Biddle St Wyandotte MI 48192-4668
Phone: (313) 284-9400
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 405031 Michigan

Profile Details

NPI number 1780621425
LBN Legal business name Gutierrez, Carlos M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 1st, 2006
Last updated Jan 28th, 2011 - about 15 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 1780621425 NPPES
Michigan MEDICAID 104418696
Michigan Other CG405031
Michigan MEDICAID 103519317
Michigan MEDICAID 103511533
Michigan MEDICAID 104601279

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