MEDICARE: DR. JANET TTHERESA GUISINGER 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
1	207Q00000X	Family Medicine Physician	4301064424	MI

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	0800900802	OTHER	MI	BCBS
2	5384614	OTHER	MI	AETNA

General Provider Information

NPI Number	:	1295773208
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JANET TTHERESA GUISINGER M.D.

Provider Business Mailing Address
First Line	:	3403 E MIDLAND RD
Second Line	:
City	:	BAY CITY
State	:	MI
Zip	:	48706-2825
Country	:	US
Telephone Number	:	989-684-1100
Fax Number	:	989-684-3340

Provider Business Practice Location Address
First Line	:	3403 E MIDLAND RD
Second Line	:
City	:	BAY CITY
State	:	MI
Zip	:	48706-2825
Country	:	US
Telephone Number	:	989-684-1100
Fax Number	:	989-684-3340

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

Provider Enumeration Date	:	06/02/2006
Last Update Date	:	07/08/2007

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