Individual
DR. GREGORY CARDEN GIFFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
111 SUNNYBROOK CT, SOUTH BEND, IN 46637-3437
(574) 243-3100
(574) 243-3134
Mailing address
111 SUNNYBROOK CT., CENTER FOR HOSPICE AND PALLIATIVE CARE, INC., SOUTH BEND, IN 46637-3437
(574) 243-3100
(574) 243-3134
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
O1O34956
IN
207PH0002X
Hospice and Palliative Medicine (Emergency Medicine) Physician
01034956
IN
207QH0002X
Hospice and Palliative Medicine (Family Medicine) Physician
01034956A
IN
Other
Enumeration date
04/11/2007
Last updated
02/11/2010
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