Individual
PETER GOTTSCHALK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
3601 W 13 MILE RD, BEAUMONT HOSPITAL-ROYAL OAK, ROYAL OAK, MI 48073-6712
(248) 898-7784
(248) 898-8181
Mailing address
130 TOWN CENTER DR STE 203, BEAUMONT MEDICAL STAFF AFFAIRS, TROY, MI 48084-1744
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
4704279186
MI
Other
Enumeration date
11/23/2016
Last updated
11/23/2016
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