SearchIndiana172A00000X

Gwendolyn Owens

NPI 1417375916 · on the registry since 2014

Practice

Address
4821 Pocono Xing
Fort Wayne, IN 46808
Phone
(260) 222-1620

Registry record

Primary taxonomy
172A00000X
172A00000X
Licence states on file
IN
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2014-04-01

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 Indiana