Individual
MR. GUSTAVO BACELAR FONTENELE ARAUJO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
520 S. 7TH STREET, VINCENNESS, IN 47591
(812) 885-8520
(812) 885-6991
Mailing address
12 KIMBER LANE, EVANSVILLE, IN 47715
(812) 304-7490
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
11022011A
IN
Other
Enumeration date
05/18/2021
Last updated
08/23/2022
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