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Individual

JAMES NELSON GINGERICH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
213 MIDDLEBURY ST, GOSHEN, IN 46528-2956
(574) 534-3300
(574) 534-5412
Mailing address
213 MIDDLEBURY ST, GOSHEN, IN 46528-2956

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
01035233
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100067500
IN
Enumeration date
08/30/2006
Last updated
12/31/2020
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