Individual
DR. MICHAEL THOMAS GUPPENBERGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5360 GENESEE ST, SUITE 200, BOWMANSVILLE, NY 14026-1044
(716) 681-5077
(716) 887-5801
Mailing address
1526 WALDEN AVENUE, SUITE 400, CHEEKTOWAGA, NY 14225-4985
(716) 655-0541
Taxonomy
Speciality
Code
Description
License number
State
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
249112-1
NY
Other
Enumeration date
06/25/2008
Last updated
08/18/2011
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