Individual
DR. WALTER D GUNDEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
364 DORSET ST, SUITE1, SOUTH BURLINGTON, VT 05403-6270
(802) 862-6312
(802) 658-3984
Mailing address
PO BOX 84, BRATTLEBORO, VT 05302-0084
(802) 862-6312
(802) 658-3984
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
042-0004309
VT
207RC0000X
Cardiovascular Disease Physician
Primary
042-0004309
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0004977
—
VT
05
—
00662184
—
NY
01
—
060026200
RR MEDICARE
VT
Enumeration date
05/01/2006
Last updated
10/05/2009
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