WALLACE JOHN GASIEWICZ

INDIANAPOLIS, IN
NPI1972790848
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy2083X0100X Preventive Medicine, Occupational Medicine
(Licence: IN  01059216A)
Enumeration Date2007-09-25
Last Update Date2007-09-25
Business Address
-- WALLACE JOHN GASIEWICZ M.D.
10832 WEATHERLY CT
INDIANAPOLIS, IN 46236-8857
Phone number: 317-823-9380
Mailing Address
-- WALLACE JOHN GASIEWICZ M.D.
10832 WEATHERLY CT
INDIANAPOLIS, IN 46236-8857
Phone number: 317-823-9380
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