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MR. MICHAEL THOMAS GAUTHIER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PA-C

Contact information

Practice address
115 CASS AVE, WOONSOCKET, RI 02895-4705
(401) 769-4100
Mailing address
15 SHEFFIELD AVE., PAWTUCKET, RI 02860
(401) 727-2731

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA00427
RI

Other

Enumeration date
11/02/2006
Last updated
07/08/2007
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