Individual
KENNETH GWINN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
48681 HAYES RD, SHELBY TOWNSHIP, MI 48315-4403
(586) 799-1212
(586) 799-1210
Mailing address
48681 HAYES RD, SHELBY TOWNSHIP, MI 48315-4403
(586) 799-1212
(586) 799-1210
Taxonomy
Speciality
Code
Description
License number
State
207YX0905X
Otolaryngology/Facial Plastic Surgery Physician
Primary
KG050974
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000009639
CAPE HEALTH
MI
01
—
0405011981
BCBS
MI
01
—
131442
PREFERRED CHOICES
MI
01
—
258611
OMNICARE
MI
01
—
C7134
MCARE HMO
MI
Enumeration date
09/11/2006
Last updated
12/22/2011
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us