Individual
DR. PAUL JOSEPH GUENTERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
611 E DOUGLAS RD STE 309, MISHAWAKA, IN 46545-1467
(574) 246-9350
(574) 246-9370
Mailing address
5215 HOLY CROSS PKWY, MISHAWAKA, IN 46545-1469
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
01043875
IN
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
01043875
IN
207RP1001X
Pulmonary Disease Physician
Primary
01043875
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200049480
—
IN
Enumeration date
12/07/2005
Last updated
10/31/2024
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