Individual
ULFUR T GUDJONSSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
901 SAINT MARYS DR STE 300, EVANSVILLE, IN 47714-0521
(812) 473-2642
Mailing address
10330 N MERIDIAN ST # 300, INDIANAPOLIS, IN 46290-1024
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
01070481A
IN
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
ME126528
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
017214900
—
FL
Enumeration date
06/11/2007
Last updated
04/09/2018
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