Andrew J Gutzka
Dentist, General Practice in Interlochen, MI. Individual provider (NPI-1).
NPI number1639799489
StatusActive
Last updated in NPPESApr 22, 2020
Details
- NPI
- 1639799489
- Entity type
- Individual (NPI-1)
- Name
- Andrew J Gutzka
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Apr 22, 2020
- Certification date
- Apr 22, 2020
- Last updated
- Apr 22, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223G0001X | Dentist, General Practice | 2901600508APP20 | MI | Yes |
Practice location
1977 White Oak LnInterlochen, MI 49643-9464
Phone 231-276-6877
Mailing address
7766 Cedar Run RdTraverse City, MI 49684-9681
Phone 231-463-3859
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