NPI 1912290149

Edna M Gonzalez

Practitioner Radiology Practitioner Assistant Michigan City, IN

Practice location

Address: 8865 W 400 N #115, Michigan City, IN 46360-9222
Phone: (219) 872-7268
Fax: (219) 872-2224
Mailing address: 3120 Macon St, Portage, IN 46368-4522

Registered specialties

Radiology Practitioner Assistant Primary

Technologists, Technicians & Other Technical Service Providers Taxonomy 243U00000X

Other Radiology Practitioner Assistant providers in Indiana →

Registry record

NPI: 1912290149
Entity type: Individual
Sex (as registered): Female
NPI issued: 20 May 2011
Record last updated: 20 May 2011

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.