Individual
GARY CHRISTOPHER GAUTHIER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
C.R.N.A.
Contact information
Practice address
600 N WOLFE ST, BALTIMORE, MD 21287-0005
(410) 502-2762
Mailing address
PO BOX 64382, BALTIMORE, MD 21264-4382
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
R186743
MD
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
026709100
—
MD
Enumeration date
07/20/2009
Last updated
08/21/2014
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