GERALD E GONNELLA

CHESTERTON, IN
NPI1801894407
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363AS0400X Physician Assistant Surgical
(Licence: IN  10000264A)
Enumeration Date2005-07-08
Last Update Date2021-04-19
Business Address
GERALD E GONNELLA P.A.
601 GATEWAY BLVD N
CHESTERTON, IN 46304-9658
Phone number: 219-921-1444
Mailing Address
GERALD E GONNELLA P.A.
601 GATEWAY BLVD N
CHESTERTON, IN 46304-9658
Phone number: 219-921-1444