MEDICARE: JAMES A GUIGELAAR 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	207R00000X	Internal Medicine Physician	JG042006	MI

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	1100910252	OTHER	MI	BCBS OF MI
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	1100910252	OTHER	MI	HEALTH PLUS

General Provider Information

NPI Number	:	1831105956
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JAMES A GUIGELAAR MD

Provider Business Mailing Address
First Line	:	200 S WENONA ST
Second Line	:	SUITE 225
City	:	BAY CITY
State	:	MI
Zip	:	48706-8820
Country	:	US
Telephone Number	:	989-893-9705
Fax Number	:	989-893-8206

Provider Business Practice Location Address
First Line	:	200 S WENONA ST
Second Line	:	SUITE 225
City	:	BAY CITY
State	:	MI
Zip	:	48706-8820
Country	:	US
Telephone Number	:	989-893-9705
Fax Number	:	989-893-8206

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

Provider Enumeration Date	:	07/31/2006
Last Update Date	:	11/19/2007

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Directions to “ JAMES A GUIGELAAR MD” Practice Location

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