Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207RC0000X | Internist - Cardiovascular Disease | 59903 | WI |
Y | 207RC0000X | Internist - Cardiovascular Disease | MD21910 | ME |
NPI | 1013205244 |
---|---|
Provider Name | Sverrir I Gunnarsson |
First Address | Brewer, ME 04412-1006 |
Second Address | Bangor, ME 04401 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 21/07/2011 |
Last Update Date | 02/03/2021 |