Gerald Wayne Dungan in St Cloud - Clinical
Gerald Wayne Dungan - NPI 1962688267
Gerald Wayne Dungan is a Clinical in St Cloud, Minnesota. Gerald Wayne Dungan practices all healthcare services and medical treatments related to Clinical. The NPI Number for Gerald Wayne Dungan is 1962688267. The last update date is 2008-01-16.
Gerald Wayne Dungan's current location address is 1406 6th Avenue North, St Cloud, Minnesota. You can contact this provider via phone number 3202512700 and fax number 3202555806. The mailing address for Gerald Wayne Dungan is 1406 6th Avenue North, St Cloud, Minnesota. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Gerald Wayne Dungan |
|---|---|
| Address | 1406 6th Avenue North, St Cloud, Minnesota |
| Phone Number | 3202512700 |
| Fax Number | 3202555806 |
| Sole Proprietor | N |
| Credentials | LICSW |
NPI Number Detail
| NPI Number | 1962688267 |
|---|---|
| Provider Enumeration Date | 2008-01-16 |
| Last Updated Date | 2008-01-16 |
Provider Mailing Address Detail
| Address | 1406 6th Avenue North |
|---|---|
| City | St Cloud |
| State | Minnesota (MN) |
| Post Code | 563031901 |
| Phone Number | 3202512700 |
| Fax Number | 3202555806 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | 3286 |
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What is the unique identification code assigned to Gerald Wayne Dungan by the Centers for Medicare & Medicaid Services?
The Gerald Wayne Dungan has been issued the NPI (National Provider Identifier) 1962688267. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Gerald Wayne Dungan?
The Gerald Wayne Dungan is physically situated at 1406 6Th Avenue North, in the city of St Cloud, state of MN, with the postal code 563031901.
What is Gerald Wayne Dungan's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Gerald Wayne Dungan is Clinical, and the taxonomy code that classifies this field of practice is 1041C0700X.
On what date did the Gerald Wayne Dungan receive the assignment of its 1962688267 from the Centers for Medicare & Medicaid Services?
The Gerald Wayne Dungan was issued its 1962688267 by the Centers for Medicare & Medicaid Services on 2008-01-16.
When was the information regarding Gerald Wayne Dungan, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Gerald Wayne Dungan, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2008-01-16.