Basic Information
| Provider Information | |||||||||
| NPI: | 1588988422 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | STEPHEN J GUNTHER M D P L C | ||||||||
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| Mailing Information | |||||||||
| Address1: | 31500 TELEGRAPH RD | ||||||||
| Address2: | SUITE 115 | ||||||||
| City: | BINGHAM FARMS | ||||||||
| State: | MI | ||||||||
| PostalCode: | 480254367 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2485944913 | ||||||||
| FaxNumber: | 2485944928 | ||||||||
| Practice Location | |||||||||
| Address1: | 31500 TELEGRAPH RD | ||||||||
| Address2: | SUITE 115 | ||||||||
| City: | BINGHAM FARMS | ||||||||
| State: | MI | ||||||||
| PostalCode: | 480254367 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2485944913 | ||||||||
| FaxNumber: | 2485944928 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 03/22/2010 | ||||||||
| LastUpdateDate: | 11/09/2010 | ||||||||
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| AuthorizedOfficialLastName: | GUNTHER | ||||||||
| AuthorizedOfficialFirstName: | STEPHEN | ||||||||
| AuthorizedOfficialMiddleName: | JEROME | ||||||||
| AuthorizedOfficialTitleorPosition: | SOLE PROPRIETOR | ||||||||
| AuthorizedOfficialTelephone: | 2485944913 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialNamePrefix: | DR. | ||||||||
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| AuthorizedOfficialCredential: | MD | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207RC0000X | Y | 193400000X SINGLE SPECIALTY GROUP | Allopathic & Osteopathic Physicians | Internal Medicine | Cardiovascular Disease |
No ID Information.