NPI 1609369073 · live from the CMS NPI Registry
Carissa Michelle Bunke, MD
Pediatrics, Pediatric Emergency Medicine in Minneapolis, MN. National Provider Identifier 1609369073, active.
NPI record
| NPI | 1609369073 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Pediatrics, Pediatric Emergency Medicine 2080P0204X |
| Practice location | 2525 Chicago Ave, Minneapolis, MN 55404 |
| Practice phone | 612-813-6000 |
| Enumerated | June 11, 2018 |
| Last updated | July 31, 2024 |
| Sole proprietor | No |
| Other names | Carissa Sawyer |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatrics, Pediatric Emergency Medicine primary | 2080P0204X | 76129 (MN) |
| Pediatrics | 208000000X | 4301114961 (MI) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.