Individual
DR. EMMA CHRISTINE GAUTHIER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
5629 STADIUM DR, KALAMAZOO, MI 49009-1952
(269) 372-1000
(269) 372-0698
Mailing address
5629 STADIUM DR, KALAMAZOO, MI 49009-1952
(269) 372-1000
(269) 372-0698
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
4301101697
MI
208000000X
Pediatrics Physician
A110656
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1104840529
BCBSM - BRONSON
MI
05
—
1487827754
—
MI
Enumeration date
04/08/2008
Last updated
11/27/2023
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