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Individual

JOHN S GILBERT

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.O.

Contact information

Practice address
810 PARK PLACE, MISHAWAKA, IN 46545
(574) 366-0240
(574) 366-0218
Mailing address
810 PARK PLACE, MISHAWAKA, IN 46545
(574) 366-0240
(574) 366-0218

Taxonomy

Speciality
Code
Description
License number
State
207YX0905X
Otolaryngology/Facial Plastic Surgery Physician
Primary
02004142A
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
201134970
IN
Enumeration date
05/31/2007
Last updated
12/11/2025
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