Individual
DR. MITCHELL A. GUTSHALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
D0069789
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
032666600
—
MD
01
—
KL 28 182297Y4R
MEDICARE
MD
01
—
S190 0102
CAREFIRST BLUE CHOICE
—
Enumeration date
06/10/2007
Last updated
12/17/2013
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