Individual
DR. ANTHONY R. GAUTHIER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1808 CHARLTON CT, GOSHEN, IN 46526-6463
(574) 533-8420
(574) 534-5822
Mailing address
1808 CHARLTON CT, GOSHEN, IN 46526-6463
(574) 533-8420
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
01077751A
IN
208800000X
Urology Physician
4301079102
MI
Other
Enumeration date
06/14/2006
Last updated
12/23/2024
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