Individual
DR. CALVIN LEROY GUTIERREZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
9200 W WISCONSIN AVE, MILWAUKEE, WI 53226-3522
(414) 805-2060
(414) 259-9290
Mailing address
2263 SW 37TH AVE APT 436, MIAMI, FL 33145-3262
(407) 414-2542
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
86052
WI
208D00000X
General Practice Physician
ME157042
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1730708660
—
WI
Enumeration date
04/10/2020
Last updated
07/02/2025
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