NICHOLAS DEFAUW

GOSHEN, IN
NPI1578791398
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: IN  02005770A)
Enumeration Date2009-07-01
Last Update Date2026-05-04
Business Address
Dr. NICHOLAS DEFAUW DO
1111 LIGHTHOUSE LN
GOSHEN, IN 46526-3824
Phone number: 260-266-4007
Mailing Address
Dr. NICHOLAS DEFAUW DO
11109 PARKVIEW PLAZA DR # 117
FORT WAYNE, IN 46845-1701
Phone number:
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