Individual
RENE S GUTIERREZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3400 E MARKET ST, LOGANSPORT, IN 46947-2295
(574) 722-9633
(574) 722-5987
Mailing address
3400 E MARKET ST, LOGANSPORT, IN 46947-2295
(574) 722-9633
(574) 722-5987
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
01042516
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000799590
ANTHEM
IN
05
—
200010560
—
IN
01
—
P01167875
RR MEDICARE
IN
Enumeration date
06/20/2005
Last updated
02/05/2016
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us