Individual
DR. SHAUN MICHAEL KUNISAKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1800 ORLEANS ST, BALTIMORE, MD 21287-0010
(410) 955-6256
(410) 502-5314
Mailing address
9910 FRANKLIN SQUARE DR STE 2110, BALTIMORE, MD 21236-4902
(410) 933-6423
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
217767
MA
208600000X
Surgery Physician
4301092951
MI
2086S0120X
Pediatric Surgery Physician
4301092951
MI
2086S0120X
Pediatric Surgery Physician
Primary
D86445
MD
Other
Enumeration date
11/14/2005
Last updated
01/04/2019
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