Doctor Name: | HENRY S GINDT |
NPI Number: | 1043339286 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MD |
License Number: | 01070594A |
Business Practice Address: | 119 S Washington St Marion, IN - 469523805 |
Business Phone Number: | 7656607440 |
Business Fax Number: | 7656517313 |
Mailing Address: | 330 N Wabash, Suite G20 MARION |
State: | IN |
Postal Code: | 469522600 |
Phone Number: | 7656607600 |
Fax Number: | 7656517313 |
NPI Enumeration Date: | 03/28/2007 |
NPI Last Update Date: | 08/01/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | 01070594A |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IN |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |