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Individual

DR. MICHELE GUNNING

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
458 OLD STREET RD, SUITE 202, PETERBOROUGH, NH 03458-1265
(603) 942-4690
Mailing address
458 OLD STREET RD, SUITE 202, PETERBOROUGH, NH 03458-1265
(603) 942-4690

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
13862
NH
2084P0800X
Psychiatry Physician
233597
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000514401
MEDICARE PTAN
NH
05
30208562
NH
Enumeration date
05/29/2007
Last updated
01/09/2014
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