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Contact Information

LAURIE GUTMANN, MD
1701 N SENATE BLVD
INDIANAPOLIS, IN46202-1239
 Phone: 888-484-3258
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Neurology

2084N0400X 13 Physician/Neurology
 

Clinical Neurophysiology

2084N0600X 86 Physician/Neuropsychiatry
 

Neuromuscular Medicine

2084N0008X 86 Physician/Neuropsychiatry
Indicates primary specialty

NPI Profile & details for LAURIE GUTMANN · (Female)

NPI # 1417057522
Status Active
Credentials MD
Entity Individual
Enumeration date 09/25/2006
Last updated 03/12/2025 - More than a year ago
Sole proprietor 1 No
Identifiers
  • IA License # 41107
  • IN License # 01084848A
  • WV License # 17323
  • IN Medicaid 300043692
  • WV Medicaid 0090112000
  • IN Other 262210055 MEDICARE PTAN
  • IN Other Q00187567 RAILROAD PTAN
Hospital affiliation(s)
  • INDIANA UNIVERSITY HEALTH - (Acute Care)
    1701 N SENATE BLVD
    INDIANAPOLIS, IN 46202
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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