NICHOLAS DEFAUW

GOSHEN, IN
NPI1578791398
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207QS0010X Family Medicine, Sports Medicine
(Licence: IN  02005770A)
Enumeration Date2009-07-01
Last Update Date2024-03-18
Business Address
Dr. NICHOLAS DEFAUW DO
1824 DORCHESTER CT STE A
GOSHEN, IN 46526
Phone number: 574-534-2548
Mailing Address
Dr. NICHOLAS DEFAUW DO
1824 DORCHESTER CT STE A
GOSHEN, IN 46526-6819
Phone number:
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