Individual
DEEPAK GAUTAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
5440 ROCKHURST DR, CANAL WINCHESTER, OH 43110-7986
(616) 617-4136
Mailing address
5440 ROCKHURST DR, CANAL WINCHESTER, OH 43110-7986
(616) 617-4136
Taxonomy
Speciality
Code
Description
License number
State
347E00000X
Transportation Broker
Primary
—
—
Other
Enumeration date
09/04/2023
Last updated
09/12/2023
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