Individual
MR. CEASAR AGUSTIN GUTIERREZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1248 N IRISH RD, DAVISON, MI 48423-2213
(810) 658-1808
Mailing address
5208 ROLLING HILLS DR, GRAND BLANC, MI 48439-9045
(810) 701-5693
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5501008368
MI
Other
Enumeration date
05/14/2007
Last updated
07/08/2007
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