Individual
SAMI GAUTHIER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1560 E MAPLE RD, TROY, MI 48083-1135
(248) 581-5200
Mailing address
1560 E MAPLE RD, TROY, MI 48083-1135
(248) 581-5200
(248) 581-5299
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
4704310843
MI
Other
Enumeration date
09/30/2019
Last updated
12/02/2022
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