Individual
TIMOTHY E BUNCHMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1 PERKINS SQ, AKRON, OH 44308-1063
(330) 543-0541
(330) 543-3270
Mailing address
PO BOX 980498, RICHMOND, VA 23291-1734
(804) 827-2264
(804) 628-5853
Taxonomy
Speciality
Code
Description
License number
State
2080P0210X
Pediatric Nephrology Physician
Primary
0101249083
VA
2080P0210X
Pediatric Nephrology Physician
35.0744921
OH
2080P0210X
Pediatric Nephrology Physician
35.074921
OR
2080P0210X
Pediatric Nephrology Physician
4301057213
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1558407189
GROUP PIN
MI
01
—
350D176310
BCBS
MI
05
—
4514164
—
MI
Enumeration date
02/21/2006
Last updated
02/07/2024
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