Organization
LOWELL FAMILY MEDICAL CENTER
Active
Other names
LOWELL FAMILY MEDICAL CENTER
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PAUL R GAUTHIER DO (PARTNER)
(616) 252-5600
Entity
Organization
Contact information
Practice address
2550 W MAIN ST, LOWELL, MI 49331-8695
(616) 252-5600
(616) 252-5660
Mailing address
2550 W MAIN ST, LOWELL, MI 49331-8695
(616) 252-5600
(616) 252-5660
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0D14845
BLUE CROSS BLUE SHIELD
MI
Enumeration date
01/19/2006
Last updated
06/16/2009
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