Individual
DR. MICHAEL DAVID GAUTREAUX
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
145 KIMEL PARK DR, SUITE 250, WINSTON SALEM, NC 27103-6984
(336) 716-4456
(336) 774-7665
Mailing address
145 KIMEL PARK DR, SUITE 250, WINSTON SALEM, NC 27103-6984
(336) 716-4456
(336) 774-7665
Taxonomy
Speciality
Code
Description
License number
State
170100000X
Ph.D. Medical Genetics
Primary
—
—
Other
Enumeration date
11/13/2006
Last updated
07/08/2007
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