Individual
FRED E. GUNVILLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2800 10TH AVE N, BILLINGS, MT 59101-0703
(406) 238-2500
Mailing address
PO BOX 35100, BILLINGS, MT 59107-5100
(406) 238-2500
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
4828
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0109863
MDCD PIN
MT
01
—
312802
BCSB PIN
WY
Enumeration date
08/31/2006
Last updated
02/13/2008
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