NPI | 1790859551 |
---|---|
Professional Name | GREGORY R DUNKELBERGER |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: NC 0010-01794) |
Additional Taxonomies | 363AM0700X Physician Assistant Medical (Licence: MD C0001459) |
363AM0700X Physician Assistant Medical (Licence: NC 0010-01794) | |
Enumeration Date | 2006-11-20 |
Last Update Date | 2023-04-10 |