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Contact Information

STACEY L GUTMAN, MD
512 SKYLINE BLVD STE 1
CLOQUET, MN55720-1199
 Phone: 218-879-4641
 Fax: 218-878-7081
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Surgery

208600000X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for STACEY L GUTMAN · (Female)

NPI # 1730447251
Status Active
Credentials MD
Entity Individual
Enumeration date 05/03/2012
Last updated 09/25/2024 - More than a year ago
Sole proprietor 1 No
Identifiers
  • KY License # R2933
  • ME License # MD21753
  • MN License # 77119
Hospital affiliation(s)
  • FRANKLIN MEMORIAL HOSPITAL - (Acute Care)
    111 FRANKLIN HEALTH COMMONS
    FARMINGTON, ME 04938
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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