Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 175F00000X | Naturopath | NT 60214098 | WA |
NPI | 1043506959 |
---|---|
Provider Name | Dr. Doug Cutler |
First Address | Bingham Farms, MI 48025-4366 |
Second Address | Bingham Farms, MI 48025-4366 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 20/06/2011 |
Last Update Date | 16/02/2015 |