Gunderman, Peter R

Gunderman, Peter R is an individual health care provider with primary practice located at 2401 W University Ave , Muncie IN 47303-3428. He recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Diagnostic Radiology. Allopathic & Osteopathic Physicians / Diagnostic Radiology is his primary health care specialty. Gunderman, Peter R can be contacted via phone (765) 741-1095.

Contact Information

Primary practice address
2401 W University Ave Muncie IN 47303-3428
Fax:
Website:

Profile Details

NPI number 1851881197
LBN Legal business name Gunderman, Peter R
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 11th, 2018
Last updated Sep 15th, 2023 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1851881197 NPPES
Indiana Other 959090192 MEDICARE PTAN
Indiana MEDICAID 300078835 MEDICARE PTAN

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