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Individual

DAVID GUNTHER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1026 UNION RD, WEST SENECA, NY 14224-3449
(716) 712-0851
(716) 712-0853
Mailing address
1026 UNION RD, WEST SENECA, NY 14224-3449
(716) 712-0851
(716) 712-0853

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
139495
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
00010195303
UNIVERA
NY
01
000508313004
BC/BS
NY
05
00754201
NY
01
040426002784
FIDELIS
NY
01
0409828
IHA
NY
01
145831BJ
PREFERRED CARE
NY
01
471989
WELLCARE
NY
Enumeration date
11/07/2005
Last updated
07/20/2014
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