Individual
DR. MIGUEL A. GAMBETTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
10010 DONALD POWERS DRIVE, MUNSTER, IN 46321
(219) 934-4200
(219) 934-6240
Mailing address
10010 DONALD POWERS DRIVE, MUNSTER, IN 46321
(219) 934-4200
(219) 934-6240
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
01025594A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100078510A
—
IN
Enumeration date
05/11/2006
Last updated
12/02/2009
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