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Michael Gutierrez

Case Manager/Care Coordinator in Minot, ND. Individual provider (NPI-1).

NPI number1235720202
StatusActive
Last updated in NPPESApr 15, 2021

Details

NPI
1235720202
Entity type
Individual (NPI-1)
Name
Michael Gutierrez
Sex
Male
Sole proprietor
No
Enumeration date
Feb 1, 2021
Certification date
Apr 15, 2021
Last updated
Apr 15, 2021

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
171M00000X Case Manager/Care Coordinator––Yes
172A00000X Driver––

Practice location

300 3rd Ave Sw Ste D
Minot, ND 58701-4346

Phone 701-223-2417

Mailing address

4909 Shelburne St
Bismarck, ND 58503-5605

Phone 701-223-2417

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