Individual
GAVIN SCHALK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
5353 72ND AVE, SCHERERVILLE, IN 46375-5352
(734) 775-5001
Mailing address
5353 72ND AVE, SCHERERVILLE, IN 46375-5352
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
07/16/2024
Last updated
07/16/2024
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