Individual
MICHAEL GUNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
11 COMMERCE WAY STE 5, JOHNSTON, RI 02919-4613
(401) 606-2610
Mailing address
1130 TEN ROD RD STE E305, NORTH KINGSTOWN, RI 02852-4176
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA01266
RI
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
PA01266
RI
Other
Enumeration date
08/12/2020
Last updated
01/19/2023
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