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Ryan A Gonzales, MD
Hematology & Oncology Physician in Fort Wayne, Indiana
NPI 1134330061

Ryan A Gonzales is a Hematology & Oncology Physician based in Fort Wayne, IN and is specialized in Hematology & Oncology. Ryan A Gonzales practices in Fort Wayne, IN and has the professional credentials of MD. The NPI Number for Ryan A Gonzales is 1134330061 and holds a License No. 01068203A (Indiana).

The current practice location address for Ryan A Gonzales is 7910 W Jefferson Blvd Ste 108, Fort Wayne, IN and can be reached out via phone at 260-484-8830 and via fax at 260-483-1911. You can also correspond with Ryan A Gonzales through the mailing address at 6610 MUTUAL DR, FORT WAYNE, IN - 46825-4236 (mailing address contact number: 260-484-8830).

Location: 7910 W Jefferson Blvd Ste 108, Fort Wayne, IN, 46825-4236
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Provider Profile Details
NPI Number
1134330061
Provider Name
Ryan A Gonzales
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
7910 W Jefferson Blvd Ste 108, Fort Wayne, IN, 46825-4236
Phone Number
260-484-8830
Fax Number
260-483-1911
Provider Enumeration Date
05/24/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0068624 05 OH
200985860 05 IN
institution
Provider Business Practice Location Address Details
Address
7910 W Jefferson Blvd Ste 108
City
State
Zip
46804-4159
Phone Number
260-484-8830
Fax Number
260-483-1911
person
Provider Business Mailing Address Details
Address
6610 Mutual Dr
City
State
Zip
46825-4236
Phone Number
260-484-8830
Fax Number
260-483-1911
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Internal Medicine
Speciality
Hematology & Oncology
Taxonomy
License No.
01068203A (Indiana)
Definition
An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.
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