Provider Demographics
NPI:1114017712
Name:GELMAN, STEPHANIE SUE (MD)
Entity Type:Individual
Prefix:
First Name:STEPHANIE
Middle Name:SUE
Last Name:GELMAN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:7929 FOREST OAKS CT
Mailing Address - Street 2:
Mailing Address - City:SALT LAKE CITY
Mailing Address - State:UT
Mailing Address - Zip Code:84121-5737
Mailing Address - Country:US
Mailing Address - Phone:801-274-0317
Mailing Address - Fax:
Practice Address - Street 1:6360 S 3000 E
Practice Address - Street 2:STE 230
Practice Address - City:COTTONWOOD HEIGHTS
Practice Address - State:UT
Practice Address - Zip Code:84121-6923
Practice Address - Country:US
Practice Address - Phone:801-748-1173
Practice Address - Fax:801-748-1163
Is Sole Proprietor?:No
Enumeration Date:2006-10-13
Last Update Date:2015-11-26
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
UT347168-1205207RI0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RI0200XAllopathic & Osteopathic PhysiciansInternal MedicineInfectious Disease