OFUNDEM GWAN, MD
General Practice
Active
Individual
NPI: 1245440940
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Internal Medicine | 207R00000X | No | MD.203609 (LA) |
| General Practice | 208D00000X | Yes | MD.203609 (LA) |
Frequently Asked Questions
NPI 1245440940 is the National Provider Identifier for OFUNDEM GWAN, MD, a General Practice provider located in Ruston, LA. This NPI was enumerated on May 23, 2007.
OFUNDEM GWAN, MD practices at 1406 S VIENNA ST, Ruston, LA 71270.
Quick Facts
- NPI
- 1245440940
- Type
- Individual
- Enumerated
- May 23, 2007
- Last Updated
- Jan 23, 2023
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