Individual
DR. MARCELO R GAVILANEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
100 W HORTON ST, BLUFFTON, IN 46714-3607
(260) 824-0800
(260) 824-7243
Mailing address
100 W HORTON ST, BLUFFTON, IN 46714-3607
(260) 824-0800
(260) 824-7243
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
01030096A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100257780
—
IN
Enumeration date
02/06/2006
Last updated
08/10/2011
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