| Doctor Name: | DR. MARK RONALD GUGEL |
| NPI Number: | 1023021615 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | DO |
| License Number: | 5101010569 |
| Business Practice Address: | A235 Clinical Ctr East Lansing, MI - 488241313 |
| Business Phone Number: | 5174326144 |
| Business Fax Number: | 5174326150 |
| Mailing Address: | A439 E Fee Hall, EAST LANSING |
| State: | MI |
| Postal Code: | 488241316 |
| Phone Number: | 5173534467 |
| Fax Number: | |
| NPI Enumeration Date: | 08/14/2006 |
| NPI Last Update Date: | 12/08/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 204D00000X |
| License Number: | 5101010569 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MI |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Neuromusculoskeletal Medicine & OMM |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |