Individual
DR. J. ROD GIMBEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
7910 W JEFFERSON BLVD STE 120, FORT WAYNE, IN 46804-4159
(260) 435-7612
(260) 435-7672
Mailing address
6920 POINTE INVERNESS WAY STE 200, FORT WAYNE, IN 46804-7934
(260) 479-3514
(260) 479-3520
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
28284
TN
207RC0001X
Clinical Cardiac Electrophysiology Physician
Primary
01082866A
IN
207RC0001X
Clinical Cardiac Electrophysiology Physician
28284
TN
207RC0001X
Clinical Cardiac Electrophysiology Physician
65897
WI
Other
Enumeration date
10/25/2005
Last updated
10/06/2020
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