Healthcare Provider Details

I. General information

NPI: 1447188453
Provider Name (Legal Business Name): MICHAEL ARTHUR GAUNT
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/11/2026
Last Update Date: 05/11/2026
Certification Date: 05/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

57467 WATERWORKS ST
CALUMET MI
49913-1258
US

IV. Provider business mailing address

57467 WATERWORKS ST
CALUMET MI
49913-1258
US

V. Phone/Fax

Practice location:
  • Phone: 906-337-0763
  • Fax: 906-337-0768
Mailing address:
  • Phone: 906-337-0763
  • Fax: 906-337-0768

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code175T00000X
TaxonomyPeer Specialist
License Number
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: