Individual
KATHERINE DELAYNE GOZE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
621 MEMORIAL DR, STE 502, SOUTH BEND, IN 46601-1075
(574) 647-5875
(574) 647-5878
Mailing address
3245 HEALTH DR STE 100, GRANGER, IN 46530-1380
(574) 647-2129
(574) 237-6069
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
01081989A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201237420
—
IN
Enumeration date
05/14/2014
Last updated
10/14/2024
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