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Dan Gautz
Intellectual & Developmental Disabilities Psychologist in Grand Rapids, Michigan
NPI 1396140919

Dan Gautz is a Intellectual & Developmental Disabilities Psychologist based in Grand Rapids, MI and is specialized in Intellectual & Developmental Disabilities. Dan Gautz practices in Grand Rapids, MI. The NPI Number for Dan Gautz is 1396140919 and holds a License No. (Michigan).

The current practice location address for Dan Gautz is O-1859 Lake Michigan Dr Nw, Grand Rapids, MI and can be reached out via phone at 616-677-5251.

Location: O-1859 Lake Michigan Dr Nw, Grand Rapids, MI, 49534-9578
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1396140919
Provider Name
Dan Gautz
Credential
Provider Entity Type
Individual
Gender
Male
Address
O-1859 Lake Michigan Dr Nw, Grand Rapids, MI, 49534-9578
Phone Number
616-677-5251
Fax Number
Provider Enumeration Date
10/24/2014
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
O-1859 Lake Michigan Dr Nw
City
Grand Rapids
State
Michigan
Zip
49534-9578
Phone Number
616-677-5251
Fax Number
person
Provider Business Mailing Address Details
Address
O-1859 Lake Michigan Dr Nw
City
Grand Rapids
State
Michigan
Zip
49534-9578
Phone Number
616-677-5251
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Psychologist
Speciality
Intellectual & Developmental Disabilities
Taxonomy
103TM1800X
License No.
()
Definition
Definition to come...
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