Organization
GUANCO CLINIC PC
Active
Organization
GUANCO CLINIC PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KIRK GUANCO (OFFICE MANAGER)
(586) 566-6880
Entity
Organization
Contact information
Practice address
47100 SCHOENHERR RD, SUITE B, SHELBY TOWNSHIP, MI 48315-4716
(586) 566-6880
(586) 566-6882
Mailing address
47100 SCHOENHERR RD, SUITE B, SHELBY TOWNSHIP, MI 48315-4716
(586) 566-6880
(586) 566-6882
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
4301031105
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2107150
—
MI
Enumeration date
11/27/2007
Last updated
11/27/2007
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up