Individual
DR. SCOTT D GUDEMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1260 INNOVATION PKWY #100, GREENWOOD, IN 46143-3602
(317) 884-5200
(317) 884-5360
Mailing address
3132 GOLFVIEW DR, GREENWOOD, IN 46143-9586
(317) 796-6935
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
01042514A
IN
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
01042514A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100421620
—
IN
Enumeration date
05/15/2006
Last updated
03/31/2023
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