Blake Gornowicz, MD

NPI #1548363732 in The Dalles, Oregon

Provider Information

NPI Number: 1548363732
Entity Type: Individual
Name: Blake Gornowicz, MD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Internal Medicine
Credential: MD
Enumeration Date: Sep 6, 2006
Last Updated: Dec 11, 2013

Practice Location

Address: 1700 E 19TH STREET
City: The Dalles
State: Oregon
ZIP Code: 97058
Phone: (541) 296-1111

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X	Primary

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