Individual
JORGE A. GUTIERREZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
HENRY FORD HEALTH SYSTEM, 2799 WEST GRAND BOULEVARD, DETROIT, MI 48202
(313) 916-2436
Mailing address
HENRY FORD HEALTH SYSTEM, 2799 WEST GRAND BOULEVARD, DETROIT, MI 48202
(313) 916-2436
Taxonomy
Speciality
Code
Description
License number
State
207ZN0500X
Neuropathology Physician
Primary
4301064067
MI
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
4301064067
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
JG064067
COMMERCIAL-COMMERCIAL NUMBER
—
Enumeration date
01/08/2007
Last updated
09/11/2025
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