Individual
CRISOLOGO ROSEL GOZO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
C.R.N.A
Contact information
Practice address
8701 BROADWAY, MERRILLVILLE, IN 46410-7035
(219) 738-4929
Mailing address
873 ALDERBROOK COURT, CROWN POINT, IN 46307
(219) 661-1057
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
28123203A
IN
Other
Enumeration date
06/17/2006
Last updated
07/08/2007
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