Individual
CARL G GUTEKUNST
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
8235 HOLLY RD, SUITE 1, GRAND BLANC, MI 48439-2441
(810) 694-9700
(810) 694-9940
Mailing address
8235 HOLLY RD, SUITE 1, GRAND BLANC, MI 48439-2441
(810) 694-9700
(810) 694-9940
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
5101009463
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
020010629
PALMETTO GBA - RR MEDICAR
MI
01
—
0N89830002
BLUE CROSS MEDICARE ADVAN
MI
01
—
1015407
MCLAREN HEALTH PLAN
MI
01
—
105248
CARE CHOICES
MI
05
—
112632786
—
MI
01
—
4111348
AETNA
MI
01
—
5250107
GENESEE HEALTH PLAN
MI
01
—
C1666
MCARE
MI
01
—
E79101
HAP
MI
Enumeration date
07/12/2006
Last updated
04/29/2009
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