Individual
STUART R GILDENBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
11900 E 12 MILE RD, STE 201, WARREN, MI 48093-3490
(586) 574-2800
(586) 574-2803
Mailing address
11900 E 12 MILE RD, STE 201, WARREN, MI 48093-3490
(586) 574-2800
(586) 574-2803
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
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us