Individual
DR. JEFFREY MICHAEL GUTMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
16407 SOUTHFIELD RD, ALLEN PARK, MI 48101
(313) 271-3000
(313) 271-3003
Mailing address
PO BOX 77000 DEPT 771255, DETROIT, MI 48277-2000
(313) 271-3000
(313) 271-8136
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
005280
AZ
207RN0300X
Nephrology Physician
Primary
5101016246
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
450852
—
AZ
Enumeration date
12/11/2006
Last updated
01/30/2019
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