Kraig David Gunelson in Cloquet - General Practice

Kraig David Gunelson - NPI 1316013410

Kraig David Gunelson is a General Practice in Cloquet, Minnesota. Kraig David Gunelson practices all healthcare services and medical treatments related to General Practice. The NPI Number for Kraig David Gunelson is 1316013410. The last update date is 2007-07-09.

Kraig David Gunelson's current location address is 1419 Cloquet Ave, Cloquet, Minnesota. You can contact this provider via phone number 2188793341 and fax number 2188793342. The mailing address for Kraig David Gunelson is 1419 Cloquet Ave, Cloquet, Minnesota. To know further, please read the information below!

Provider Profile Detail

Provider Name Kraig David Gunelson
Address 1419 Cloquet Ave, Cloquet, Minnesota
Phone Number 2188793341
Fax Number 2188793342
Sole Proprietor N
Credentials D.D.S.

NPI Number Detail

NPI Number 1316013410
Provider Enumeration Date 2006-11-28
Last Updated Date 2007-07-09

Provider Mailing Address Detail

Address 1419 Cloquet Ave
City Cloquet
State Minnesota (MN)
Post Code 557201943
Phone Number 2188793341
Fax Number 2188793342

Provider's Primary Taxonomy Detail

Speciality General Practice
Taxonomy 1223G0001X
Licence No D11357
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
153L3KR MN BCBS PROVIDER ID #

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FAQs about Kraig David Gunelson

What is the unique identification code assigned to Kraig David Gunelson by the Centers for Medicare & Medicaid Services?

The Kraig David Gunelson has been issued the NPI (National Provider Identifier) 1316013410. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you please share the complete physical address where Kraig David Gunelson is geographically located?

The Kraig David Gunelson is physically situated at the following location: 1419 Cloquet Ave, Cloquet, MN, 557201943.

What is Kraig David Gunelson's specialized area of practice, and what is the corresponding taxonomy classification code for this field?

The Kraig David Gunelson's specialized field of practice is General Practice, and the corresponding taxonomy code that categorizes this area of specialization is 1223G0001X.

On what date did Kraig David Gunelson receive its 1316013410 assignment from the Centers for Medicare & Medicaid Services?

The Kraig David Gunelson was assigned its 1316013410 on 2006-11-28, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.

When was the information regarding Kraig David Gunelson, such as address, specialty, and other details, most recently verified or confirmed to be accurate?

The information pertaining to Kraig David Gunelson, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2007-07-09.

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