| Doctor Name: | DR. LOUISE JOHNSON WUNSCH |
| NPI Number: | 1225365158 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LOUISE WUNSCH, MD |
| License Number: | ME 104743 |
| Business Practice Address: | 6800 N Dale Mabry Hwy Ste 270 Tampa, FL - 336143999 |
| Business Phone Number: | 8002231172 |
| Business Fax Number: | |
| Mailing Address: | 6800 N Dale Mabry Hwy Ste 270, TAMPA |
| State: | FL |
| Postal Code: | 336143999 |
| Phone Number: | 8002231172 |
| Fax Number: | |
| NPI Enumeration Date: | 11/13/2009 |
| NPI Last Update Date: | 11/13/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | ME 104743 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | FL |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |