Individual
MICHAEL GERARD GUIGNON SR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4550 MEMORIAL DR, STE. 280, BELLEVILLE, IL 62226
(618) 277-3109
(618) 277-3143
Mailing address
4550 MEMORIAL DR, STE. 280, BELLEVILLE, IL 62226
(618) 277-3109
(618) 277-3143
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
036075467
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036075467
—
IL
01
—
R2D91
LICENSE
MO
Enumeration date
10/10/2006
Last updated
03/07/2023
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