Individual
RICHARD J GAUTHIER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
835 PARKSIDE ST, RIPON, WI 54971-8508
(920) 745-3520
(920) 745-7932
Mailing address
420 E DIVISION ST, FOND DU LAC, WI 54935-4560
(920) 926-8343
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
26968
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30726500
—
WI
Enumeration date
09/06/2005
Last updated
10/21/2020
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us