Provider Demographics
NPI:1295773208
Name:GUISINGER, JANET TTHERESA (MD)
Entity type:Individual
Prefix:DR
First Name:JANET
Middle Name:TTHERESA
Last Name:GUISINGER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3403 E MIDLAND RD
Mailing Address - Street 2:
Mailing Address - City:BAY CITY
Mailing Address - State:MI
Mailing Address - Zip Code:48706-2825
Mailing Address - Country:US
Mailing Address - Phone:989-684-1100
Mailing Address - Fax:989-684-3340
Practice Address - Street 1:3403 E MIDLAND RD
Practice Address - Street 2:
Practice Address - City:BAY CITY
Practice Address - State:MI
Practice Address - Zip Code:48706-2825
Practice Address - Country:US
Practice Address - Phone:989-684-1100
Practice Address - Fax:989-684-3340
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-06-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4301064424207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI0800900802OtherBCBS
MI5384614OtherAETNA
MI0800900802OtherBCBS
MIG64321Medicare UPIN