# DR. JURGEN GERNOT RUNSCHKE

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1134166473
- **Gender:** Man
- **Credential:** MD

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207P00000X | Emergency Medicine Physician | 01092546A | IN | — |
| 207P00000X | Emergency Medicine Physician | 321283 | NY | — |
| 207P00000X | Emergency Medicine Physician | 4301080098 | MI | — |
| 207P00000X | Emergency Medicine Physician | 65288 | MN | — |
| 208600000X | Surgery Physician | 4301080098 | MI | — |
| 2086S0129X | Vascular Surgery Physician | 4301080098 | MI | Yes |

## Other

- **Enumeration date:** 06/02/2006
- **Last updated:** 03/12/2024

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 104806285 | — | MI |
| 05 | — | 104951052 | — | MI |
| 01 | — | JR080098 | BCBS | MI |