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Individual

DR. STEPHEN HERRICK CRUIKSHANK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.,MBA

Contact information

Practice address
122 GATEWAY BLVD STE 200, MOORESVILLE, NC 28117-5544
(704) 658-0286
(704) 660-0196
Mailing address
122 GATEWAY BLVD STE 200, MOORESVILLE, NC 28117-5544
(704) 658-0286
(704) 660-0196

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
35.066030
OH

Other

Enumeration date
05/07/2013
Last updated
02/14/2017
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