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Individual

DR. DAVID C GUNNERSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
36123 SCHOOLCRAFT RD, LIVONIA, MI 48150-1216
(734) 464-0887
(734) 402-0254
Mailing address
36123 SCHOOLCRAFT RD, LIVONIA, MI 48150-1216
(734) 464-0887
(734) 402-0254

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
DG078285
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0C97618
BCBSM
MI
05
1588602106
MI
05
4595108
MI
Enumeration date
06/04/2006
Last updated
06/30/2025
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