National Provider Identifier

Michael Thomas Guppenberger, M.D.

Michael Thomas Guppenberger, M.D. is listed in the NPPES registry with a primary specialty of Child & Adolescent Psychiatry Physician in Bowmansville, NY and a listed phone number of (716) 681-5077.

NPI 1912169681Bowmansville, NYChild & Adolescent Psychiatry Physician

Profile Overview

NPI
1912169681
Provider Type
Individual
Primary Specialty
Child & Adolescent Psychiatry Physician
Enumeration Date
June 25, 2008
Last Updated
August 18, 2011

Practice Location

  • 5360 Genesee St
  • Suite 200
  • Bowmansville, NY 14026-1044

Phone: (716) 681-5077

Mailing Address

  • 1526 Walden Avenue
  • Suite 400
  • Cheektowaga, NY 14225-4985

Specialties

  • Child & Adolescent Psychiatry Physician (2084P0804X)
Full Record
NPI
1912169681
Entity Type
Individual
Last Name
Guppenberger
First Name
Michael
Middle Name
Thomas
Name Prefix
Dr.
Credential
M.D.
Mailing Street Address
1526 Walden Avenue
Mailing Address Line 2
Suite 400
Mailing City
Cheektowaga
Mailing State
NY
Mailing ZIP Code
14225-4985
Mailing Country
US
Mailing Phone
(716) 655-0541
Practice Street Address
5360 Genesee St
Practice Address Line 2
Suite 200
Practice City
Bowmansville
Practice State
NY
Practice ZIP Code
14026-1044
Practice Country
US
Practice Phone
(716) 681-5077
Practice Fax
(716) 887-5801
Enumeration Date
June 25, 2008
Last Updated
August 18, 2011
Sex
Male
Sole Proprietor
No
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Child & Adolescent Psychiatry Physician (2084P0804X)