| Organization Name: | GAUTHIER MEDICAL AND WELLNESS |
| NPI Number: | 1013253913 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | CRAIG MICHAEL GAUTHIER (PHYSICIAN) |
| Mailing Address: | 520 N Lewis St Suite 102 New Iberia |
| State: | LA US |
| Postal Code: | 705632094 |
| Phone Number: | 3373679411 |
| Fax Number: | 3372568892 |
| NPI Enumeration Date: | 12/20/2012 |
| NPI Last Update Date: | 12/20/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 207VG0400X |
| License Number: | 09814R |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | LA |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Obstetrics & Gynecology |
| Taxonomy Specialization: | Gynecology |
| Taxonomy Definition: | |