Individual
TRACY D GUNTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
355 W 16TH ST, SUITE 4800, INDIANAPOLIS, IN 46202-2207
(317) 963-7288
(317) 963-7313
Mailing address
250 N SHADELAND AVE STE 200, INDIANAPOLIS, IN 46219-4959
(317) 962-3834
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
01070168A
IN
2084P0800X
Psychiatry Physician
2008026918
MO
2084P0800X
Psychiatry Physician
35139
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0294900
—
IA
05
—
201147280
—
IN
01
—
34874
WELLMARK BCBS
IA
01
—
P01360488
RAILROAD MEDICARE
IN
Enumeration date
09/19/2005
Last updated
02/05/2021
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