Individual
JULIE SUZANNE BUNNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
58 16TH ST, WHEELING, WV 26003-3660
(304) 243-6410
(304) 243-6411
Mailing address
58 16TH ST, WHEELING, WV 26003-3660
(304) 243-6410
(304) 243-6411
Taxonomy
Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
19765
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
001718176
MOUNTAIN STATE BCBS
—
05
—
1812151000
—
WV
01
—
19765
HEALTH PLAN OF UPPER OH V
—
05
—
2325353
—
OH
01
—
55035705701
WV COMPENSATION
WV
Enumeration date
06/23/2005
Last updated
10/09/2012
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