Individual
RAE ELAINE BUNYAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A-C
Contact information
Practice address
2050 KENNY RD, STE 3300, COLUMBUS, OH 43221-3502
(614) 293-3600
(614) 293-4399
Mailing address
2050 KENNY RD, STE 3300, COLUMBUS, OH 43221-3502
(614) 293-3600
(614) 293-4399
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
003527
GA
363AS0400X
Surgical Physician Assistant
Primary
50004039
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100002028B
—
GA
05
—
100002028C
—
GA
Enumeration date
06/16/2006
Last updated
06/10/2014
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