Search › Michigan › 103TM1800X
Dan Gautz
NPI 1396140919 · on the registry since 2014
Practice
- Address
- O-1859 Lake Michigan Dr Nw
Grand Rapids, MI 49534 - Phone
- (616) 677-5251
- Organisation at this address
- Indian Trails Camp, Inc.
Indian Trails Camp, Inc.Inferred from a shared address, not stated in the registry. - Clinicians at this address
- 6
Registry record
- Primary taxonomy
- 103TM1800X
103TM1800X
- Sex
- Male
- Record last updated
- 2014-10-24
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Michigan