Provider Demographics
NPI:1689376683
Name:GUTIERREZ, FRANCISCO JAVIER
Entity Type:Individual
Prefix:MR
First Name:FRANCISCO
Middle Name:JAVIER
Last Name:GUTIERREZ
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:329 WESTBROOK CT
Mailing Address - Street 2:
Mailing Address - City:MARSHALL
Mailing Address - State:MI
Mailing Address - Zip Code:49068-3116
Mailing Address - Country:US
Mailing Address - Phone:517-462-1566
Mailing Address - Fax:
Practice Address - Street 1:329 WESTBROOK CT
Practice Address - Street 2:
Practice Address - City:MARSHALL
Practice Address - State:MI
Practice Address - Zip Code:49068-3116
Practice Address - Country:US
Practice Address - Phone:517-462-1566
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-03-21
Last Update Date:2023-03-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician