| Rene S Gutierrez, Md | |
|
902 Foxwood Ct Monticello IN 47960-3201 | |
| (574) 583-2495 | |
| (574) 583-2319 |
| Full Name | Rene S Gutierrez, Md |
|---|---|
| Speciality | General Practice |
| Location | 902 Foxwood Ct, Monticello, Indiana |
| Authorized Official Name and Position | Lois Schmidt (CREDENTIALING SPECIALIST) |
| Authorized Official Contact | 7654492410 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Rene S Gutierrez, Md 1415 Salem St Suite 302 Lafayette IN 47904-4100 Ph: (765) 449-2410 | Rene S Gutierrez, Md 902 Foxwood Ct Monticello IN 47960-3201 Ph: (574) 583-2495 |
| NPI Number | 1336334796 |
|---|---|
| Provider Enumeration Date | 09/10/2007 |
| Last Update Date | 02/28/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336334796 | NPI | - | NPPES |
| 200495560 | Medicaid | IN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | 01042516A (Indiana) | Primary |
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