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Individual

KURT W GUELZOW

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
707 S JEFFERSON ST, ROANOKE, VA 24016-5100
(540) 855-5100
Mailing address
PO BOX 1789, ROANOKE, VA 24008-1789
(540) 855-5100

Taxonomy

Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
0101030032
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
006377921
VA
Enumeration date
06/10/2005
Last updated
11/19/2009
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