Organization
SIGMA MEDICAL GROUP, LLC
Active
Other names
Rene S Gutierrez, MD
Organization subpart
No
Provider details
NPI number
Authorized official
LOIS SCHMIDT (CREDENTIALING SPECIALIST)
(765) 449-2410
Entity
Organization
Contact information
Practice address
902 FOXWOOD CT, MONTICELLO, IN 47960-3201
(574) 583-2495
(574) 583-2319
Mailing address
1415 SALEM ST, SUITE 302, LAFAYETTE, IN 47904-4100
(765) 449-2410
(765) 742-8607
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
01042516A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200495560
—
IN
Enumeration date
09/10/2007
Last updated
02/28/2011
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