Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Eder Gutierrez Carlock

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1073019733

Eder Gutierrez Carlock is a Family Practice in Ann Arbor, Michigan. Qualified in 2008, 18 years ago. Practices with Regents of the University of Michigan, a 3,271-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Michigan.

Years since qualifying
18
Licensed in
MI
In the registry since
2018
Specialties on file
2
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Practice location Address checks out

24 Frank Lloyd Wright Dr
Ann Arbor, MI 48105-9484
Phone: (734) 539-5000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 4301504928 (MI)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1073019733
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedApril 2, 2018
Last updated in NPPESOctober 1, 2021
Certification dateOctober 1, 2021
Mailing address3621 S State St, Ann Arbor, MI 48108-1633

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 2008 (18 years in practice)
Group practice Regents Of The University Of Michigan — 3271 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations4 on file with Medicare

Other providers in Ann Arbor