MEDICARE: WILLIAM P GUTHINGER 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	208800000X	Urology Physician	123840	NY

General Provider Information

NPI Number	:	1699769398
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	WILLIAM P GUTHINGER M.D.

Provider Business Mailing Address
First Line	:	209 S GOODMAN ST
Second Line	:
City	:	ROCHESTER
State	:	NY
Zip	:	14607-2711
Country	:	US
Telephone Number	:	585-271-2602
Fax Number	:	585-244-9435

Provider Business Practice Location Address
First Line	:	209 S GOODMAN ST
Second Line	:
City	:	ROCHESTER
State	:	NY
Zip	:	14607-2711
Country	:	US
Telephone Number	:	585-271-2602
Fax Number	:	585-244-9435

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

Provider Enumeration Date	:	09/08/2005
Last Update Date	:	09/30/2008

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