Individual
DR. RENE ALONZO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2014 S MAIN ST STE B, GOSHEN, IN 46526-5235
(574) 533-8639
(574) 534-9542
Mailing address
2014 S MAIN ST STE B, GOSHEN, IN 46526-5235
(574) 533-8639
(574) 534-9542
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
01084341A
IN
207QA0401X
Addiction Medicine (Family Medicine) Physician
01084341A
IN
208D00000X
General Practice Physician
01084341A
IN
Other
Enumeration date
06/26/2018
Last updated
03/18/2024
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