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Individual

ROBERT W GUTEKUNST

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
BROADWAY AT 11TH, BLESSING HOSPITAL, QUINCY, IL 62301
(217) 223-8400
(217) 223-6984
Mailing address
4000 CATAMARAN CT, QUINCY, IL 62305-8281
(217) 223-8400
(217) 223-6984

Taxonomy

Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
036065222
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100325410
IN
Enumeration date
06/11/2006
Last updated
03/27/2015
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