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Individual

CHRISTOPHER MICHAEL GILDEA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PHARMD

Contact information

Practice address
60101 BODNAR BLVD STE 100B, SAINT JOSEPH FAMILY MEDICINE AT ELM ROAD, MISHAWAKA, IN 46544-9340
(574) 335-8500
(574) 335-0794
Mailing address
707 CEDAR ST STE 200, SAINT JOSEPH PHYSICIAN NETWORK, SOUTH BEND, IN 46617-2057
(574) 335-8700
(574) 335-0741

Taxonomy

Speciality
Code
Description
License number
State
1835P2201X
Ambulatory Care Pharmacist
Primary
26026231A
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
26026231A
STATE LICENSE
IN
Enumeration date
05/05/2017
Last updated
05/20/2021
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