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Individual

CARLA L GUGGENHEIM

Active
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Individual

CARLA L GUGGENHEIM

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DO

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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