Individual
CATARINA D GULLEDGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2400 MIAMI VALLEY DR STE 280, CENTERVILLE, OH 45459-4774
(937) 435-4263
(937) 298-9459
Mailing address
3170 KETTERING BLVD BLDG B, MORAINE, OH 45439-1924
(937) 991-3188
(937) 223-9811
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
01081828A
IN
207X00000X
Orthopaedic Surgery Physician
MT206872
PA
207XS0106X
Orthopaedic Hand Surgery Physician
Primary
35.146761
OH
207XS0106X
Orthopaedic Hand Surgery Physician
4351048779
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3000026485
—
IN
Enumeration date
06/30/2014
Last updated
01/24/2023
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