NPI 1194720276

Stuart R Gildenberg, MD

Practitioner Dermatology Physician Warren, MI

Practice location

Address: 11900 E 12 Mile Rd STE 201, Warren, MI 48093-3490
Phone: (586) 574-2800
Fax: (586) 574-2803

Registered specialties

Dermatology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207N00000X Licence 4301407085 (MI)

Other Dermatology providers in Michigan →

Registry record

NPI: 1194720276
Entity type: Individual
Sex (as registered): Male
NPI issued: 16 Jun 2005
Record last updated: 28 Jul 2021

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.