Individual
DR. RODNEY LEWIS GUIMONT JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
650 DICKINSON RD, CHESTERTON, IN 46304-3387
(219) 926-7755
(219) 929-1885
Mailing address
2022 KELLE DR, CHESTERTON, IN 46304-8708
(219) 364-3616
(219) 364-3610
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
01068181A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200982010
—
IN
01
—
M400016996
MEDICARE PTAN
IN
Enumeration date
03/25/2008
Last updated
09/18/2020
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