Individual
GRETCHEN GINDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
101 INDUSTRY RD, BRIDGEPORT, IL 62417-2442
(618) 395-7340
Mailing address
800 E LOCUST ST, OLNEY, IL 62450-2553
(618) 395-7340
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
209019732
IL
Other
Enumeration date
08/06/2019
Last updated
08/06/2019
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