Individual
GIAN CARLO QUEIROZ MACEDO CASTOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
41 QUARTERMASTER CT, JEFFERSONVILLE, IN 47130-3623
(812) 282-1617
Mailing address
1901 CAMPUS PL, LOUISVILLE, KY 40299-2308
(502) 253-4924
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
01093282A
IN
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
07/11/2018
Last updated
09/06/2024
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