Basic Information
Provider Information
NPI: 1225166689
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: GUNNING
FirstName: WILLIAM
MiddleName: THOMAS
NamePrefix: DR.
NameSuffix: III
Credential: PH.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 3035 ARLINGTON AVENUE
Address2: UNIVERSITY OF TOLEDO- HEALTH SCIENCE CAMPUS
City: TOLEDO
State: OH
PostalCode: 436142598
CountryCode: US
TelephoneNumber: 4193833752
FaxNumber:  
Practice Location
Address1: 3035 ARLINGTON AVENUE
Address2: DEPT OF PATHOLOGY, UNIVERSITY OF TOLEDO- HSC
City: TOLEDO
State: OH
PostalCode: 436142598
CountryCode: US
TelephoneNumber: 4193833752
FaxNumber:  
Other Information
ProviderEnumerationDate: 02/28/2007
LastUpdateDate: 07/08/2007
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
174400000X  Y Other Service ProvidersSpecialist 

No ID Information.


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