Search › Louisiana › 208D00000X
Ofundem Gwan, MD
NPI 1245440940 · on the registry since 2007 · sole proprietor
Practice
- Address
- 1406 S Vienna St
Ruston, LA 71270 - Phone
- (318) 232-2456
- Fax
- (318) 232-2457
- Clinicians at this address
- 2
Registry record
- Primary taxonomy
- 208D00000X
208D00000X
- Also registered as
- 207R00000X
- Licence states on file
- LA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2023-01-23
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Louisiana