Michelle S Gwyn in Pueblo - General Practice

Michelle S Gwyn - NPI 1023083631

Michelle S Gwyn is a General Practice in Pueblo, Colorado. Michelle S Gwyn practices all healthcare services and medical treatments related to General Practice. The NPI Number for Michelle S Gwyn is 1023083631. The last update date is 2007-07-09.

Michelle S Gwyn's current location address is 415 N Grand Ave, Pueblo, Colorado. You can contact this provider via phone number 7195463333. The mailing address for Michelle S Gwyn is 415 N Grand Ave, Pueblo, Colorado. To know further, please read the information below!

Provider Profile Detail

Provider Name Michelle S Gwyn
Address 415 N Grand Ave, Pueblo, Colorado
Phone Number 7195463333
Fax Number
Sole Proprietor N
Credentials --

NPI Number Detail

NPI Number 1023083631
Provider Enumeration Date 2006-02-18
Last Updated Date 2007-07-09

Provider Mailing Address Detail

Address 415 N Grand Ave
City Pueblo
State Colorado (CO)
Post Code 810033111
Phone Number 7195463333
Fax Number

Provider's Primary Taxonomy Detail

Speciality General Practice
Taxonomy 1223G0001X
Licence No DN013195
Definition:
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
9180516 GA --

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FAQs about Michelle S Gwyn

What is the Michelle S Gwyn's 1023083631?

The Michelle S Gwyn's NPI (National Provider Identifier) Number is 1023083631. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).

Could you provide the complete physical address where Michelle S Gwyn is located?

The Michelle S Gwyn is situated at the following address: 415 N Grand Ave, Pueblo, CO, 810033111.

What is Michelle S Gwyn's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?

The primary area of medical expertise for Michelle S Gwyn is General Practice, and the corresponding taxonomy classification code for this specialized field is 1223G0001X.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1023083631 to Michelle S Gwyn?

The Centers for Medicare & Medicaid Services originally issued the 1023083631 to Michelle S Gwyn on 2006-02-18.

When was the information pertaining to Michelle S Gwyn most recently updated or revised?

The details related to Michelle S Gwyn, including its address, specialty, and other relevant information, were last updated or revised on 2007-07-09.

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