Individual
DR. GARY ALAN WAUTIER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
580 W COLLEGE AVE, MARQUETTE, MI 49855-2705
(906) 225-3985
(906) 225-4562
Mailing address
PO BOX 220, MARQUETTE, MI 49855-0220
(906) 225-3985
(906) 225-4562
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
6301009750
MI
Other
Enumeration date
12/01/2005
Last updated
11/01/2007
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