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Individual

JOSHUA WAYNE GOLLUB

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
705 RILEY HOSPITAL DR, INDIANAPOLIS, IN 46202-5109
(317) 274-4779
(317) 948-9806
Mailing address
PO BOX 719094, CHICAGO, IL 60677-9318
(317) 777-6435
(317) 777-6644

Taxonomy

Speciality
Code
Description
License number
State
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
01096422A
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
300113056
IN
Enumeration date
04/02/2018
Last updated
02/14/2026
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