Individual
CAROL A GUNNETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1350 BOYSON ROAD, BLDG C, HIAWATHA, IA 52233
(319) 826-6773
(319) 826-6775
Mailing address
1350 BOYSON ROAD, BLDG C, HIAWATHA, IA 52233
(319) 826-6773
(319) 826-6775
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
37419
IA
207Q00000X
Family Medicine Physician
R7788
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1750326864
—
IA
01
—
P01568811
RR MEDICARE PROVIDER NUMBER
IA
01
—
R7788
IA RESIDENT LICENSE
IA
Enumeration date
06/20/2006
Last updated
02/22/2016
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