Individual
KELLIE P GAUTHIER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DC
Contact information
Practice address
11837 MERRIMAN RD, LIVONIA, MI 48150-1924
(734) 421-0101
(734) 421-4895
Mailing address
7246 GARVIN, WATERFORD, MI 48329-2828
(248) 212-6916
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2301011025
MI
Other
Enumeration date
01/11/2021
Last updated
01/11/2021
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