MEDICARE: STEVE GUTNIK MD

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
1	207RG0100X	Gastroenterology Physician	1532	SD

Other Identifiers

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

General Provider Information

NPI Number	:	1295736205
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	STEVE GUTNIK MD

Provider Business Mailing Address
First Line	:	1104 W 8TH ST
Second Line	:
City	:	YANKTON
State	:	SD
Zip	:	57078-3306
Country	:	US
Telephone Number	:	605-665-7841
Fax Number	:	605-665-0546

Provider Business Practice Location Address
First Line	:	409 SUMMIT ST STE 2800
Second Line	:
City	:	YANKTON
State	:	SD
Zip	:	57078-3735
Country	:	US
Telephone Number	:	605-655-1910
Fax Number	:	605-655-1915

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/02/2005
Last Update Date	:	12/02/2024

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