Individual
DR. WILSON SY GUTIERREZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2700 NW STEWART PKWY, ROSEBURG, OR 97471-1281
(541) 673-0611
Mailing address
2774 NW DAYSHA DR, ROSEBURG, OR 97471-2980
(541) 784-6233
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MD28542
OR
207RH0002X
Hospice and Palliative Medicine (Internal Medicine) Physician
MD28542
OR
208M00000X
Hospitalist Physician
Primary
MD28542
OR
Other
Enumeration date
08/14/2007
Last updated
10/05/2017
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