| Dr Paul Thomas Gunderson, MD | |
|
1293 E Parkdale Ave, Suite 1200, Manistee, MI 49660-8904 | |
| (231) 398-1710 | |
| (231) 398-1716 |
| Full Name | Dr Paul Thomas Gunderson |
|---|---|
| Gender | Male |
| Speciality | Pediatrics |
| Location | 1293 E Parkdale Ave, Manistee, Michigan |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740242502 | NPI | - | NPPES |
| 1749425 | Medicaid | MI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208000000X | Pediatrics | PG038176 (Michigan) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Paul Thomas Gunderson, MD 1293 E Parkdale Ave, Suite 1200, Manistee, MI 49660-8904 Ph: (231) 398-1710 | Dr Paul Thomas Gunderson, MD 1293 E Parkdale Ave, Suite 1200, Manistee, MI 49660-8904 Ph: (231) 398-1710 |
Dr. Krystal Kay Johnston, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1293 E Parkdale Ave, Suite 1200, Manistee, MI 49660 Phone: 231-398-1710 Fax: 231-398-1716 | |
Miss Jennifer Sue Reinink, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1293 E Parkdale Ave, Suite 1200, Manistee, MI 49660 Phone: 231-398-1710 Fax: 231-398-1716 | |
Dr. William Weiner, MD Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 1400 E Parkdale Ave, Ste: 4, Manistee, MI 49660 Phone: 231-398-1840 |