MEDICARE: DR. MICHAEL PATRICK MCGUNIGAL 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	207L00000X	Anesthesiology Physician	35347	CO

General Provider Information

NPI Number	:	1912983149
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MICHAEL PATRICK MCGUNIGAL M.D.

Provider Business Mailing Address
First Line	:	8000 E MAPLEWOOD AVE
Second Line	:	STE 200
City	:	GREENWOOD VILLAGE
State	:	CO
Zip	:	80111-4727
Country	:	US
Telephone Number	:	719-448-0981
Fax Number	:	719-448-0767

Provider Business Practice Location Address
First Line	:	6001 E WOODMEN RD
Second Line	:
City	:	COLORADO SPRINGS
State	:	CO
Zip	:	80923-2601
Country	:	US
Telephone Number	:	719-448-0981
Fax Number	:	719-448-0767

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

Provider Enumeration Date	:	12/20/2005
Last Update Date	:	07/22/2018

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