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Individual

STEPHEN GOTTSCHALK

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
262 DANNY THOMAS PL, MEMPHIS, TN 38105-3678
(901) 595-3300
(901) 595-3842
Mailing address
262 DANNY THOMAS PL # MS 515, MEMPHIS, TN 38105-3678

Taxonomy

Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
L2286
TX
208000000X
Pediatrics Physician
L2286
TX
2080P0207X
Pediatric Hematology & Oncology Physician
Primary
56315
TN
2080P0207X
Pediatric Hematology & Oncology Physician
L2286
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
146759901
TX
05
Q031338
TN
Enumeration date
10/17/2006
Last updated
01/11/2025
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