Individual
DR. ANITA FICSOR GUTIERREZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
26648 COUNTY ROAD 653, GOBLES, MI 49055
(269) 628-4005
Mailing address
26648 COUNTY ROAD 653, GOBLES, MI 49055
(269) 628-4005
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
4301060041
MI
Other
Enumeration date
08/29/2012
Last updated
08/29/2012
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