Individual
LEONARD MARK GUTNIK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
2478
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0005586
BLUE CROSS
SD
01
—
0404413
MEDICA
SD
01
—
110211778
RR MEDICARE
SD
05
—
12262
—
ND
01
—
1526
MIDLANDS CHOICE
SD
01
—
23146
ARAZ/ AMERICA'S PPO
SD
01
—
2478
DAKOTACARE
SD
01
—
24850
SANFORD HEALTH PLAN
SD
05
—
2920900
—
IA
01
—
30B75GU
CC SYSTEMS/ BLUE PLUS
MN
01
—
370624200
DEPT OF LABOR
SD
05
—
46022474335
—
NE
01
—
57105F002
WPS TRICARE
SD
05
—
6000623
—
SD
01
—
769201017553
PREFERRED ONE
SD
05
—
914505200
—
MN
01
—
92411422901
PRIMEWEST
MN
01
—
HP32254
HEALTHPARTNERS
SD
Enumeration date
02/17/2006
Last updated
10/31/2019
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