Individual
CARL J GUTIERREZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4180 HARBOR RD, SHELBURNE, VT 05482
(406) 545-8842
Mailing address
4180 HARBOR RD, SHELBURNE, VT 05482
(406) 545-8842
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
042-0009449
VT
207L00000X
Anesthesiology Physician
8729
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02188085
—
NY
05
—
1008144
—
VT
Enumeration date
06/14/2006
Last updated
08/31/2009
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