Individual
SARAH NICHOLE GAUTHIER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
100 MICHIGAN ST NE, GRAND RAPIDS, MI 49503-2560
(616) 391-1730
Mailing address
4100 EMBASSY DR SE STE 400, GRAND RAPIDS, MI 49546-2416
(616) 975-1845
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
5101024085
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5101025920
—
MI
Enumeration date
06/13/2018
Last updated
11/18/2025
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