Individual
DR. GERALD L. WINGARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
23350 COUNTY ROAD 38, GOSHEN, IN 46526-9384
(574) 862-3100
(574) 862-4900
Mailing address
23350 COUNTY ROAD 38, GOSHEN, IN 46526-9384
(574) 862-3100
(574) 862-4900
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
20040098
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000176605
ANTHEM BLUECROSS & BLUE S
IN
Enumeration date
08/30/2006
Last updated
07/08/2007
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