Individual
DR. MARY ELAINE GUTZKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
701 PRINCETON AVE SW, BIRMINGHAM, AL 35211-1303
(205) 783-3144
(205) 783-3195
Mailing address
PO BOX 235022, MONTGOMERY, AL 36123-5022
(334) 386-2051
(334) 396-6929
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
28340
AL
367500000X
Certified Registered Nurse Anesthetist
1-041040
AL
Other
Enumeration date
01/16/2007
Last updated
03/01/2010
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