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Individual

DR. JOHN WINSTON DONATO GONZALEZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
501 E HOSPITAL LN, SUITE 104, TERRE HAUTE, IN 47802-4230
(812) 232-5518
(812) 235-8908
Mailing address
501 E HOSPITAL LN, SUITE 104, TERRE HAUTE, IN 47802-4230
(812) 232-5518
(812) 235-8908

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
01045263
IN
2084P0800X
Psychiatry Physician
01052463A
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
200289950
IN
Enumeration date
10/17/2006
Last updated
04/09/2024
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