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NPI Code Detail

MEDICARE: CHRISTOPHER JOHN GUNNELL M.D.

MEDICARE: CHRISTOPHER JOHN GUNNELL M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207Q00000XFamily Medicine PhysicianCG060025MI

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
20F06016OTHERMIMEDICARE BILL PAY TO

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
5MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1932142262
Entity Type Code : Individual
Provider Name (Legal Business Name) : CHRISTOPHER JOHN GUNNELL M.D.
Provider Business Mailing Address
First Line : 1140 N STATE ST
Second Line :
City : SAINT IGNACE
State : MI
Zip : 49781-1048
Country : US
Telephone Number : 906-643-8585
Fax Number : 906-643-0414
Provider Business Practice Location Address
First Line : 1140 N STATE ST
Second Line :
City : SAINT IGNACE
State : MI
Zip : 49781-1048
Country : US
Telephone Number : 906-643-8585
Fax Number : 906-643-0414
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/14/2006
Last Update Date : 03/19/2014

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Directions to “ CHRISTOPHER JOHN GUNNELL M.D.” Practice Location

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