Individual
DIANE L GUTCHAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP
Contact information
Practice address
9099 E LANSING RD STE A, DURAND, MI 48429-1083
(989) 288-2651
(989) 288-2087
Mailing address
9099 E LANSING RD STE A, DURAND, MI 48429-1083
(989) 288-2651
(989) 288-2087
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
4704149122
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1780723015
—
MI
Enumeration date
02/05/2007
Last updated
03/26/2019
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