Individual provider · Type 1 NPI

Gauthier Tiolo Dongmo, MD

Student in an Organized Health Care Education/Training Program · Detroit, MI

NPI number 1508569724 Active

Practice location

2799 W Grand Blvd
Detroit, MI 48202-2608

Call (313) 916-2600 Map

Other practice locations

  • 6431 Fannin Street, Msb 2.116, Houston, TX 77030 · (713) 500-7640

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1508569724

Gauthier Tiolo Dongmo, MD's National Provider Identifier is 1508569724, issued on Mar 24, 2023. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Detroit, MI. The record was last updated on Mar 11, 2024.