Individual
CARLA L GUGGENHEIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
1106 N CEDAR ST, SUITE 2A, LANSING, MI 48906-5334
(517) 267-0107
(517) 267-9523
Mailing address
1106 N CEDAR ST, SUITE 2A, LANSING, MI 48906-5334
(517) 267-0107
(517) 267-9523
Taxonomy
Speciality
Code
Description
License number
State
207RR0500X
Rheumatology Physician
Primary
CG010463
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1004432
MCLAREN HEALTH PLAN
MI
01
—
1153302345
MICHIGAN BLUE SHIELD
MI
01
—
3200009
PHYSICIANS HEALTH PLAN
MI
05
—
4233584
—
MI
01
—
CG010463
STATE LICENSE NUMBER
MI
Enumeration date
08/05/2006
Last updated
02/20/2014
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