Paul Thomas Gunderson in Manistee - Pediatrics
Paul Thomas Gunderson - NPI 1740242502
Paul Thomas Gunderson is a Pediatrics in Manistee, Michigan. Paul Thomas Gunderson practices all healthcare services and medical treatments related to Pediatrics. The NPI Number for Paul Thomas Gunderson is 1740242502. The last update date is 2007-07-08.
Paul Thomas Gunderson's current location address is 1293 E Parkdale Ave, Manistee, Michigan. You can contact this provider via phone number 2313981710 and fax number 2313981716. The mailing address for Paul Thomas Gunderson is 1293 E Parkdale Ave, Manistee, Michigan. To know further, please read the information below!
Provider Profile Detail
Provider Name | Paul Thomas Gunderson |
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Address | 1293 E Parkdale Ave, Manistee, Michigan |
Phone Number | 2313981710 |
Fax Number | 2313981716 |
Sole Proprietor | X |
Credentials | M.D. |
NPI Number Detail
NPI Number | 1740242502 |
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Provider Enumeration Date | 2006-04-05 |
Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
Address | 1293 E Parkdale Ave |
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City | Manistee |
State | Michigan (MI) |
Post Code | 496608904 |
Phone Number | 2313981710 |
Fax Number | 2313981716 |
Provider's Primary Taxonomy Detail
Speciality | Pediatrics |
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Taxonomy | 208000000X |
Licence No | PG038176 |
Definition: A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
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1749425 | MI | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Paul Thomas Gunderson by the Centers for Medicare & Medicaid Services?
The Paul Thomas Gunderson has been issued the NPI (National Provider Identifier) 1740242502 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you please provide the complete street address where Paul Thomas Gunderson is physically located?
The Paul Thomas Gunderson is physically situated at the following address: 1293 E Parkdale Ave, Manistee, MI, 496608904.
What is Paul Thomas Gunderson's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Paul Thomas Gunderson is Pediatrics, and the taxonomy code that classifies this field of practice is 208000000X.
On what date did the Paul Thomas Gunderson receive its 1740242502 assignment from the Centers for Medicare & Medicaid Services?
The Paul Thomas Gunderson was assigned its 1740242502 by the Centers for Medicare & Medicaid Services on 2006-04-05.
When was the information regarding Paul Thomas Gunderson most recently updated?
The details pertaining to the Paul Thomas Gunderson, including its address, specialty, and other relevant information, were last refreshed on 2007-07-08.
NPI Number: 1023011681
Address: 506 Cromwell Ave, Rocky Hill, CT