Jurgen Gernot Runschke
Surgeon Emergency Physician Vascular Surgeon
880 Munson Ave Ste A
Traverse City
, Michigan 49686-3661
Jurgen Gernot Runschke
Surgeon Emergency Physician Vascular Surgeon
880 Munson Ave Ste A
Traverse City
, Michigan 49686-3661
(231) 946-1489
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About
Features
Specialties
- Emergency Physician
- Surgeon
- Vascular Surgeon
Languages spoken
- English
Location
First Address
- Jurgen Gernot Runschke
- 880 Munson Ave Ste A
- Traverse City, MI
- Zip : 49686-3661
- Phone : (231) 946-1489
Second Address
- Jurgen Gernot Runschke
- 880 Munson Ave Ste A
- Traverse City, MI
- Zip : 49686-3661
- Phone : (231) 946-1489
Reviews
FAQs
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What type of doctor is Jurgen Gernot Runschke
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What is Jurgen Gernot Runschke ’s gender?
Is Jurgen Gernot Runschke a sole practitioner?
Is Jurgen Gernot Runschke accepting new patients?
What languages does Jurgen Gernot Runschke speak?
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Does Jurgen Gernot Runschke have any license restrictions?
Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 207P00000X | Emergency Physician | 4301080098 | MI |
| N | 207P00000X | Emergency Physician | 65288 | MN |
| N | 208200000X | Surgeon | 4301080098 | MI |
| N | 208600000X | Surgeon | 4301080098 | MI |
| Y | 2086S0129X | Vascular Surgeon | 4301080098 | MI |
National Provider Identifier
| NPI | 1134166473 |
|---|---|
| Provider Name | Jurgen Gernot Runschke |
| First Address | Traverse City, MI 49686-3661 |
| Second Address | Traverse City, MI 49686-3661 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 02/06/2006 |
| Last Update Date | 01/12/2020 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 104806285 | (05) | MI |
| 104951052 | (05) | MI |
| I26709 | (02) | |
| JR080098 | BCBS (01) | MI |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.