DR. Gordon P. Bausman

NPI #1679710107 in Rensselaer, Indiana

Provider Information

NPI Number: 1679710107
Entity Type: Individual
Name: DR. Gordon P. Bausman
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist
Enumeration Date: Jan 21, 2009
Last Updated: Jan 21, 2009

Practice Location

Address: 210 N. FRONT ST.
City: Rensselaer
State: Indiana
ZIP Code: 47978
Phone: (219) 866-4533

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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