Provider Demographics
NPI:1992929632
Name:KUNZ, PETER FREDERICK (MD)
Entity type:Individual
Prefix:DR
First Name:PETER
Middle Name:FREDERICK
Last Name:KUNZ
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:FRITZ
Other - Middle Name:
Other - Last Name:KUNZ
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:FRITZ KUNZ MD
Mailing Address - Street 1:11725 N ILLINOIS ST
Mailing Address - Street 2:SUITE 270
Mailing Address - City:CARMEL
Mailing Address - State:IN
Mailing Address - Zip Code:46032-3008
Mailing Address - Country:US
Mailing Address - Phone:317-688-5900
Mailing Address - Fax:317-688-5909
Practice Address - Street 1:11725 ILLINOIS ST
Practice Address - Street 2:SUITE 270
Practice Address - City:CARMEL
Practice Address - State:IN
Practice Address - Zip Code:46032-3008
Practice Address - Country:US
Practice Address - Phone:317-688-5900
Practice Address - Fax:317-688-5909
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-12
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN01032426282NC0060X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282NC0060XHospitalsGeneral Acute Care HospitalCritical Access