Individual
DR. JENNIFER MARIE GUDAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
633 E 13TH ST, WINAMAC, IN 46996-1157
(574) 946-3944
(574) 946-6843
Mailing address
PO BOX 365, WINAMAC, IN 46996-0365
(574) 946-3944
(574) 946-6843
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
18003318B
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200494530
—
IN
Enumeration date
09/13/2006
Last updated
12/14/2011
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