Individual
DR. MARK R GUTEKUNST
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
1245 CEDAR RD, C, CHESAPEAKE, VA 23322-7141
(757) 549-1664
(757) 549-2445
Mailing address
1245 CEDAR RD, C, CHESAPEAKE, VA 23322-7141
(757) 549-1664
(757) 549-2445
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
0104001152
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
042725
ANTHEM BLUE CROSS
VA
01
—
10384080
CAQH
—
01
—
1790973
CIGNA
—
01
—
44-00363
UNITED HEALTH CARE
—
01
—
4657152
AETNA
—
Enumeration date
06/23/2006
Last updated
12/15/2011
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