Individual
GUILLERMO RAFAEL ETHIER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DNP
Contact information
Practice address
3230 GARDEN AVE, ROYAL OAK, MI 48073-6525
(810) 240-1102
Mailing address
3230 GARDEN AVE, ROYAL OAK, MI 48073-6525
(810) 240-1102
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
4704371357
MI
Other
Enumeration date
05/17/2023
Last updated
05/17/2023
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