Active NPIIndividual provider

Dr. Stacey L Gutman, MD

Surgery in Cloquet, Minnesota

NPI Number1730447251
Practice location
512 Skyline Blvd Ste 1, Cloquet, MN 55720-1199
Fax
218-878-7081
Last updated
September 25, 2024

Stacey Lynn Gutman is a Surgery based in Cloquet, MN. Stacey Lynn Gutman practices in Cloquet, MN and has the professional credentials of MD. The NPI Number for Stacey Lynn Gutman is 1730447251 and holds a License No. R2933 (KY). The current practice location address for Stacey Lynn Gutman is 512 Skyline Blvd Ste 1, Cloquet, MN 55720-1199 and can be reached out via phone at 218-879-4641 and via fax at 218-878-7081.

Provider Profile Details

NPI Number
1730447251
Provider Name
Stacey Lynn Gutman
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
512 Skyline Blvd Ste 1, Cloquet, MN 55720-1199
Phone Number
218-879-4641
Fax Number
218-878-7081
Primary Taxonomy
Surgery · 208600000X
Sole Proprietor
No
Provider Enumeration Date
May 3, 2012
Last Update Date
September 25, 2024
Certification Date
September 25, 2024
NPI Status
Active

Provider Business Practice Location Address Details

Address
512 Skyline Blvd Ste 1
Cloquet, MN 55720-1199
Zip
55720-1199
Phone Number
218-879-4641
Fax Number
218-878-7081
Cloquet, MN 55720Get directions →

Provider Business Mailing Address Details

Address
24 Miles Center Way
Damariscotta, ME 04543-4067
City
Damariscotta
State
ME
Zip
04543-4067
Phone Number
207-563-4252
Fax Number
759-323-6840

License Information

License Number (1)
R2933
License State (1)
KY
Taxonomy (1)
Surgery · 208600000X
License Number (2)
MD21753
License State (2)
ME
Taxonomy (2)
Surgery · 208600000X
License Number (3)
77119
License State (3)
MN
Taxonomy (3)
Surgery · 208600000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Dr. Stacey L Gutman, MD?

The NPI number of Dr. Stacey L Gutman, MD is 1730447251. It was assigned on May 3, 2012 and is currently active in the NPPES registry.

What is the specialty of Dr. Stacey L Gutman, MD?

Dr. Stacey L Gutman, MD is registered under the primary taxonomy Surgery (code 208600000X), licensed in KY under license number R2933.

Where does Dr. Stacey L Gutman, MD practice?

The practice location is 512 Skyline Blvd Ste 1, Cloquet, MN 55720-1199. The office can be reached at 218-879-4641 (phone) or 218-878-7081 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1730447251 directly on the NPPES registry website.

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