Individual
KENNETH JOHN GUIDERA
Active
Individual
KENNETH JOHN GUIDERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207XP3100X
Pediatric Orthopaedic Surgery Physician
Primary
47329
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
158417100
—
MN
05
—
1922150697
—
MN
Enumeration date
01/16/2007
Last updated
04/04/2011
Update your record
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