Individual
PATRICIA GUNTERN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
5900 BYRON CENTER AVE SW, WYOMING, MI 49519-9606
(616) 252-7123
Mailing address
PO BOX 2184, GRAND RAPIDS, MI 49501-2184
(616) 363-7867
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
5101015969
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0154111635
BCBS
MI
05
—
4919636
—
MI
05
—
4919663
—
MI
05
—
4919672
—
MI
05
—
4919707
—
MI
05
—
4919725
—
MI
Enumeration date
08/19/2006
Last updated
08/31/2009
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