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Individual

HENRY S GINDT

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1136 N BALDWIN AVE, MARION, IN 46952-2536
(765) 660-7440
(765) 662-4715
Mailing address
9515 LEDGE WOOD CT, FORT WAYNE, IN 46804-4701
(901) 606-3847

Taxonomy

Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
01070594A
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
201142000
IN
Enumeration date
03/28/2007
Last updated
03/10/2021
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