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Individual

ANTHONY WILLIAM GISH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
OD

Contact information

Practice address
5415 N MAIN ST, MISHAWAKA, IN 46545-9044
(574) 271-2020
Mailing address
54630 GILMAN DR, MISHAWAKA, IN 46545-2101
(561) 275-2020

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
18003945A
IN

Other

Enumeration date
03/01/2016
Last updated
03/01/2016
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