Wunsch, Martin Gerard

Wunsch, Martin Gerard is an sole proprietor health care provider with primary practice located at 43211 Dalcoma Dr Suite 11, Clinton Township MI 48038-6309. He recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical Neuropsychologist, Behavioral Health & Social Service Providers / Psychologist, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is his primary health care specialty. Wunsch, Martin Gerard can be contacted via phone (586) 263-0947.

Contact Information

Primary practice address
43211 Dalcoma Dr Suite 11 Clinton Township MI 48038-6309
Phone: (586) 263-0947
Fax: (248) 267-5899
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical Neuropsychologist 103G00000X 6301005658 Michigan
Behavioral Health & Social Service Providers / Psychologist 103T00000X 6301005658 Michigan
Behavioral Health & Social Service Providers / Clinical 103TC0700X 6301005658 Michigan

Profile Details

NPI number 1871560326
LBN Legal business name Wunsch, Martin Gerard
Credentials PH.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 3rd, 2006
Last updated Feb 25th, 2019 - about 7 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 1871560326 NPPES
Michigan Other 122159 VALUE OPTIONS
Michigan Other 207862 VALUE OPTIONS
Michigan Other 5076046 VALUE OPTIONS
Michigan Other 68OF33054 VALUE OPTIONS
Michigan Other 5842 VALUE OPTIONS
Michigan Other 071777000 VALUE OPTIONS
Michigan Other IP045740 VALUE OPTIONS

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