Provider Demographics
NPI:1669576146
Name:GINTHER, MARK ERIC (MD)
Entity type:Individual
Prefix:
First Name:MARK
Middle Name:ERIC
Last Name:GINTHER
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:1447 N HARRISON ST
Mailing Address - Street 2:
Mailing Address - City:SAGINAW
Mailing Address - State:MI
Mailing Address - Zip Code:48602-4727
Mailing Address - Country:US
Mailing Address - Phone:989-671-5775
Mailing Address - Fax:989-671-5767
Practice Address - Street 1:2919 WILDER RD
Practice Address - Street 2:SUITE 150
Practice Address - City:BAY CITY
Practice Address - State:MI
Practice Address - Zip Code:48706-9299
Practice Address - Country:US
Practice Address - Phone:989-671-5775
Practice Address - Fax:989-671-5767
Is Sole Proprietor?:No
Enumeration Date:2006-09-12
Last Update Date:2017-02-02
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MIMG405779207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
110210595OtherUNITED HEALTHCARE
19380OtherCOMMUNITY CHOICE
0990164OtherHEALTH PLUS OF MI
110090143OtherFEP BCBSM
MI4238910Medicaid
4115699OtherAETNA
0090143OtherBLUE CARE NETWORK
E49582Medicare UPIN
MI4238910Medicaid