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Individual

MICHAEL GOUTERMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
CP

Contact information

Practice address
234 OWEN DR, FAYETTEVILLE, NC 28304-3414
(910) 323-9016
(910) 486-8712
Mailing address
234 OWEN DR, FAYETTEVILLE, NC 28304-3414
(910) 323-9016
(910) 486-8712

Taxonomy

Speciality
Code
Description
License number
State
222Z00000X
Orthotist
224P00000X
Prosthetist
Primary

Other

Enumeration date
04/22/2024
Last updated
12/17/2024
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