Individual
DR. THOMAS P GUTMANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1475 KISKER RD STE 200, SAINT CHARLES, MO 63304-8788
(636) 498-5850
Mailing address
PO BOX 955534, SAINT LOUIS, MO 63195-5534
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
036090509
IL
207R00000X
Internal Medicine Physician
Primary
116009
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036090509
—
IL
Enumeration date
07/31/2006
Last updated
10/22/2020
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