Individual
ERIC ANTHONY GONSIOROWSKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3400 BROADWAY, GARY, IN 46408-1101
(888) 968-7486
Mailing address
5916 WILDROSE LN, SCHERERVILLE, IN 46375-3547
(219) 781-0318
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
01/28/2025
Last updated
02/28/2025
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