Individual
DR. ELAINE MARIE BUNICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MD11035
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3166763
—
TN
05
—
3386121
—
TN
Enumeration date
06/15/2007
Last updated
01/18/2016
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