GAUTAM PHOOKAN

MUNCIE, IN
NPI1093750978
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207T00000X Neurological Surgery
(Licence: IN  01050143A)
Additional Taxonomies207T00000X Neurological Surgery
(Licence: IN  1050143)
Enumeration Date2006-06-17
Last Update Date2022-12-16
Business Address
GAUTAM PHOOKAN MD
2525 W UNIVERSITY AVE STE 503
MUNCIE, IN 47303-3409
Phone number: 765-288-0441
Mailing Address
GAUTAM PHOOKAN MD
250 N SHADELAND AVE
INDIANAPOLIS, IN 46219-4959
Phone number:
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