Individual
MICHAEL GENE CLOUTIER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1331 N ELM ST, SUITE 200, GREENSBORO, NC 27401-6302
(336) 274-9617
(336) 482-2177
Mailing address
1331 N ELM ST, SUITE 200, GREENSBORO, NC 27401-6302
(336) 274-9617
(336) 482-2177
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
26916
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
23149
BCBSNC
NC
01
—
300033903
RAILROAD MEDICARE
NC
05
—
8923149
—
NC
Enumeration date
01/08/2006
Last updated
03/18/2014
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