Individual
STUART R GILDENBERG
Active
Individual
STUART R GILDENBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
4301407085
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
070E015730
BCN ADVANTAGE
MI
01
—
070E15730
BCBSM
MI
01
—
0N96970006
BCBSM MEDICARE PLUS BLUE
MI
01
—
100784
MOLINA
MI
01
—
100962
GREAT LAKES HEALTH PLAN
MI
01
—
110028
CARER CHOICES
MI
01
—
1222960001
TOTAL HEALTH CARE
MI
01
—
200330360
HEALTH PLUS OF MICHIGAN
MI
01
—
29183
COMMUNITY CHOICE OF MICHI
MI
01
—
4358234
AETNA
MI
05
—
4640517
—
MI
01
—
C3726
MCARE
—
01
—
F00397
HAP HMO
MI
01
—
P00180380
TRAVELERS MEDICARE
MI
01
—
SG407085
BLUE CARE NETWORK ADVANTA
MI
Enumeration date
06/16/2005
Last updated
07/28/2021
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