Individual
NICHOLAS ANDREW GUTZMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
2345 DOUGHERTY FERRY RD, SAINT LOUIS, MO 63122-3313
(314) 966-9586
(314) 966-9394
Mailing address
12430 LIGHTHOUSE WAY DR APT F, SAINT LOUIS, MO 63141-6482
(816) 752-3529
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
MO
Other
Enumeration date
04/14/2023
Last updated
04/14/2023
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