Individual
DR. DIETER KARL GUNKEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
11702 MERCY BLVD, SUITE 2D, SAVANNAH, GA 31419-1750
(912) 721-2900
(912) 721-2903
Mailing address
11702 MERCY BLVD, SUITE 2D, SAVANNAH, GA 31419-1750
(912) 721-2900
(912) 721-2903
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
014247
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00070859G
—
GA
01
—
060052360
MEDICARE RAILROAD
GA
Enumeration date
02/07/2006
Last updated
04/08/2010
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