Gildenberg, Stuart R

Gildenberg, Stuart R is an individual health care provider with primary practice located at 11900 E 12 Mile Rd Ste 201, Warren MI 48093-3490. He recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as his primary health care specialty. Gildenberg, Stuart R can be contacted via phone (586) 574-2800.

Contact Information

Primary practice address
11900 E 12 Mile Rd Ste 201 Warren MI 48093-3490
Phone: (586) 574-2800
Fax: (586) 574-2803
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X 4301407085 Michigan

Profile Details

NPI number 1194720276
LBN Legal business name Gildenberg, Stuart R
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 16th, 2005
Last updated Jul 28th, 2021 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1194720276 NPPES
Michigan Other 100784 MOLINA
Michigan Other 1222960001 MOLINA
Michigan Other P00180380 MOLINA
Michigan Other 070E15730 MOLINA
Michigan Other SG407085 MOLINA
Michigan Other 1222960001 MOLINA
Michigan Other 29183 MOLINA
Michigan MEDICAID 4640517 MOLINA
Michigan Other C3726 MOLINA
Michigan Other 070E015730 MOLINA
Michigan Other 110028 MOLINA
Michigan Other 200330360 MOLINA
Michigan Other 4358234 MOLINA
Michigan Other 4358234 MOLINA
Michigan Other 0N96970006 MOLINA
Michigan Other 100962 MOLINA
Michigan Other 110028 MOLINA
Michigan Other F00397 MOLINA

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