Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Stuart R Gildenberg, MD

Individual provider Dermatology Physician · NPI 1194720276

Stuart R Gildenberg, MD is a Dermatology in Warren, Michigan. Graduated from Wayne State University School of Medicine in 1986, 40 years ago. Practices with Midwest Center for Dermatology and Pathology PLLC, a 49-clinician group and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
40
Trained at
Wayne State University School of Medicine
Licensed in
MI
In the registry since
2005
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

11900 E 12 Mile Rd Ste 201
Warren, MI 48093-3490
Phone: (586) 574-2800
Fax: (586) 574-2803
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dermatology Physician (primary) Taxonomy 207N00000X · Licence 4301407085 (MI)

Record details

NPI number1194720276
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 16, 2005
Last updated in NPPESJuly 28, 2021
Certification dateJuly 28, 2021
Mailing address11900 E 12 Mile Rd, Ste 201, Warren, MI 48093-3490

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyDERMATOLOGY
Medical schoolWAYNE STATE UNIVERSITY SCHOOL OF MEDICINE
Graduated 1986 (40 years in practice)
Group practice Midwest Center For Dermatology And Pathology Pllc — 49 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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