Individual
STEPHEN PAUL GUSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
01042515
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100389510A
—
IN
01
—
370020659
MEDICARE RAILROAD
IN
Enumeration date
06/05/2006
Last updated
04/24/2015
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