Ofundem Rose Gwan, MD

NPI #1245440940 in Ruston, Louisiana

Provider Information

NPI Number: 1245440940
Entity Type: Individual
Name: Ofundem Rose Gwan, MD
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: General Practice
Credential: MD
Enumeration Date: May 23, 2007
Last Updated: Jan 23, 2023

Practice Location

Address: 1406 S VIENNA ST
City: Ruston
State: Louisiana
ZIP Code: 71270-6428
Phone: (318) 232-2456

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X
General Practice	208D00000X	Primary

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