Individual
ALEXANDER C GATZIMOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.,JD
Contact information
Practice address
212 WEST EDISON ROAD, SUITE B, MISHAWAKA, IN 46545
(574) 222-2359
(574) 222-2365
Mailing address
212 WEST EDISON ROAD, SUITE B, MISHAWAKA, IN 46545
(574) 222-2359
(574) 222-2365
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
01036818A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100063840B
—
IN
Enumeration date
05/14/2007
Last updated
07/25/2016
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