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Organization

STEVEN K. GUDEMAN, MD PA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
STEVEN KENT GUDEMAN M.D. (PHYSICIAN)
(704) 864-5550
Entity
Organization

Contact information

Practice address
2555 COURT DR, SUITE 400, GASTONIA, NC 28054-2134
(704) 864-5550
(704) 764-7448
Mailing address
2555 COURT DR, SUITE 400, GASTONIA, NC 28054-2180
(704) 864-5550
(704) 764-7448

Taxonomy

Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
8937945
NC
Enumeration date
05/18/2006
Last updated
12/07/2009
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