Individual
THOMAS ANDREW GULICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
312 GRAMMONT STREET;, SUITE 402, MONROE, LA 71201
(318) 966-6550
(318) 966-6551
Mailing address
312 GRAMMONT STREET;, SUITE 402, MONROE, LA 71201
(318) 966-6550
(318) 966-6551
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
014119
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1326968
—
LA
05
—
154275001
—
AR
Enumeration date
06/29/2006
Last updated
01/06/2012
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