Individual
JULIA A GAUTSCHE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
C.N.M.
Contact information
Practice address
1111 LIGHTHOUSE LANE, GOSHEN, IN 46526-3824
(574) 533-0348
(574) 533-0277
Mailing address
1111 LIGHTHOUSE LANE, GOSHEN, IN 46526-3824
(574) 533-0348
(574) 533-0277
Taxonomy
Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
72000004
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200069040
—
IN
Enumeration date
09/07/2005
Last updated
09/21/2017
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