Individual
MICHAEL EMILE GUILLETTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PAC
Contact information
Practice address
2577 MAIN AVE, DURANGO, CO 81301-5919
(970) 247-8382
(970) 259-4403
Mailing address
2577 MAIN AVE, DURANGO, CO 81301-5919
(970) 247-8382
(970) 259-4403
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
889
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
L8806
—
NM
Enumeration date
10/20/2005
Last updated
10/18/2019
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