Individual
STEPHEN GUNNINK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
100 MICHIGAN ST. SE, GRAND RAPIDS, MI 49503-2527
(616) 267-1090
Mailing address
4100 EMBASSY DR SE STE 400, GRAND RAPIDS, MI 49546-2416
(616) 988-8220
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
5101025654
MI
207PT0002X
Medical Toxicology (Emergency Medicine) Physician
5101025654
MI
2080P0204X
Pediatric Emergency Medicine (Pediatrics) Physician
Primary
5101025654
MI
Other
Enumeration date
06/26/2017
Last updated
01/22/2025
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