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1043200629
CURTIS L GONGWER
SOUTH BEND, IN
NPI
1043200629
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: IN 01045301A)
Enumeration Date
2005-10-25
Last Update Date
2016-08-02
Business Address
Dr. CURTIS L GONGWER MD
4440 NORTH PORTAGE AVENUE
SOUTH BEND, IN 46628-8579
Phone number: 574-204-6200
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Mailing Address
Dr. CURTIS L GONGWER MD
4440 NORTH PORTAGE AVENUE
SOUTH BEND, IN 46628-8579
Phone number: 574-204-6200
Copy
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