Individual
DAVID D GUMMIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1 UNIVERSITY OF NEW MEXICO, MSC 07 4390, ALBUQUERQUE, NM 87131
(505) 272-4261
Mailing address
800 BRADBURY DR SE STE 116, ALBUQUERQUE, NM 87106-4310
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
036094168
IL
207P00000X
Emergency Medicine Physician
42056-020
WI
207P00000X
Emergency Medicine Physician
Primary
MD2023-1333
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036094168
—
IL
05
—
1497702898
—
WI
01
—
399729456001
BCBS OF WISCONSIN
WI
01
—
930091555
MEDICARE RAILROAD
WI
Enumeration date
05/30/2006
Last updated
03/13/2025
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