Individual
DR. KYLE J GUNNERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1500 EAST MEDICAL CENTER DR, B1 FLOOR UNIVERSITY HOSPITAL RECP ER-EC3, ANN ARBOR, MI 48109-5301
(734) 936-6666
Mailing address
3621 SOUTH STATE STREET, 700 KMS PLACE, ANN ARBOR, MI 48108
(734) 936-2047
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
0101235024
VA
207P00000X
Emergency Medicine Physician
Primary
4301068699
MI
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
4301068699
MI
Other
Enumeration date
08/31/2006
Last updated
02/04/2015
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