| Organization Name: | PAUL Y. GUTTERMAN, MD, PC |
| NPI Number: | 1083822852 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | PAUL GUTTERMAN (PRESIDENT) |
| Mailing Address: | 1750 S Telegraph Rd Suite 101 Bloomfield Hills |
| State: | MI US |
| Postal Code: | 483020166 |
| Phone Number: | 2484519085 |
| Fax Number: | 2484519089 |
| NPI Enumeration Date: | 05/18/2007 |
| NPI Last Update Date: | 05/19/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QM0801X |
| License Number: | 4301047779 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MI |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Mental Health (Including Community Mental Health Center) |
| Taxonomy Definition: | |