Individual
ALEXANDER GUTIERREZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
303 N HIGH ST, RANDOLPH, WI 53956-1219
(920) 326-0203
Mailing address
303 N HIGH ST, RANDOLPH, WI 53956-1219
(920) 326-0203
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
6228-12
WI
Other
Enumeration date
01/03/2025
Last updated
02/28/2025
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