Individual
MICHAEL DAVID GUTTENPLAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1492 S MILL AVE, SUITE 301, TEMPE, AZ 85281
(480) 894-5550
(780) 894-9469
Mailing address
1492 S MILL AVE, SUITE 301, TEMPE, AZ 85281
(480) 894-5550
(480) 894-9469
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
48133
AZ
207Y00000X
Otolaryngology Physician
H7751
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
040017696
RR MEDICARE
TX
01
—
114231102
FIRSTCARE/SWLIFEHEALTH
TX
05
—
8774426
—
AZ
01
—
8H0731
BCBS
TX
Enumeration date
12/27/2005
Last updated
02/04/2014
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