Individual
MR. ANDREW ALEXANDER GONZALEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2651 E DISCOVERY PKWY, BLOOMINGTON, IN 47408-9059
(812) 355-6900
(812) 339-1292
Mailing address
250 N SHADELAND AVE, INDIANAPOLIS, IN 46219-4959
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
01082838A
IN
390200000X
Student in an Organized Health Care Education/Training Program
4301112383
MI
390200000X
Student in an Organized Health Care Education/Training Program
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—
Other
Enumeration date
04/08/2010
Last updated
08/07/2023
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