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Individual
DR. STEPHEN GARY GUMPENBERGER
Active
Individual
DR. STEPHEN GARY GUMPENBERGER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
3313
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000384125
ANTHEM CIRCLEVILLE
OH
01
—
000000385990
ANTHEM WILMINGTON
OH
01
—
030554726027
CARESOURCE
OH
05
—
2347151
—
OH
01
—
7871398
AETNA
OH
01
—
DD214
RAILROAD MCR
OH
Enumeration date
04/10/2006
Last updated
10/31/2007
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