| Gary J Gunther Pc | |
|
7035 Orchard Lake Rd Ste 500 West Bloomfield MI 48322-3677 | |
| (248) 396-0006 | |
| Not Available |
| Full Name | Gary J Gunther Pc |
|---|---|
| Speciality | Psychologist |
| Location | 7035 Orchard Lake Rd Ste 500, West Bloomfield, Michigan |
| Authorized Official Name and Position | Gary J Gunther (PSYCHOLOGIST/ PRESIDENT) |
| Authorized Official Contact | 2483960006 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Gary J Gunther Pc 46841 Greenridge Dr Northville MI 48167-1766 Ph: (248) 396-0006 | Gary J Gunther Pc 7035 Orchard Lake Rd Ste 500 West Bloomfield MI 48322-3677 Ph: (248) 396-0006 |
| NPI Number | 1356067995 |
|---|---|
| Provider Enumeration Date | 10/17/2022 |
| Last Update Date | 10/17/2022 |
| Certification Date | 10/15/2022 |
| Medicare PECOS PAC ID | 0345617627 |
|---|---|
| Medicare Enrollment ID | O20221028001236 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356067995 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
| Provider Name | Gary J Gunther |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1700823382 PECOS PAC ID: 8729034855 Enrollment ID: I20050322000972 |
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