| Paul R Gauthier, DO | |
|
2500 W Main St, Lowell, MI 49331-8695 | |
| (616) 252-5600 | |
| (616) 252-5660 |
| Full Name | Paul R Gauthier |
|---|---|
| Gender | Male |
| Speciality | Family Medicine |
| Location | 2500 W Main St, Lowell, Michigan |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154431526 | NPI | - | NPPES |
| 1337674 | Medicaid | MI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 5101007656 (Michigan) | Primary |
| Entity Name | Metropolitan Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1811937519 PECOS PAC ID: 5597651836 Enrollment ID: O20040507000012 |
| Mailing Address | Practice Location Address |
|---|---|
| Paul R Gauthier, DO 5900 Byron Center Ave Sw, Medical Administration, Wyoming, MI 49519-9606 Ph: (616) 252-3243 | Paul R Gauthier, DO 2500 W Main St, Lowell, MI 49331-8695 Ph: (616) 252-5600 |
Dr. Christopher James Davis, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2550 W Main St, Lowell, MI 49331 Phone: 616-252-5600 Fax: 616-252-5660 | |
Dr. Tracy L Lixie, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2500 W Main St, Lowell, MI 49331 Phone: 616-252-5600 Fax: 616-252-5660 | |
Dr. Wayne A Christenson, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2550 W Main St, Lowell, MI 49331 Phone: 616-252-5600 Fax: 616-252-5660 | |
James C Lang, DO Family Medicine Medicare: Medicare Enrolled Practice Location: 2550 W Main St, Lowell, MI 49331 Phone: 616-252-5600 Fax: 616-252-5660 | |
Johnathan G. Meier, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2550 W Main St, Lowell, MI 49331 Phone: 616-252-5600 Fax: 616-252-5660 |