NPI 1043490964
Michael Alan Gwinn, IDC
Practice location
- Address
- 2050 Barb St STE a, Silverdale, WA 98315-2050
- Phone
- (360) 315-4346
Registered specialties
Independent Duty Corpsman
Primary
Registry record
- NPI
- 1043490964
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 8 Nov 2007
- Record last updated
- 19 Feb 2015
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.