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NPI Code Detail

MEDICARE: CHRISTIAN RODRIGO GONZALEZ DO

MEDICARE: CHRISTIAN RODRIGO GONZALEZ DO
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1390200000XStudent in an Organized Health Care Education/Training ProgramIN

General Provider Information

NPI Number : 1417899519
Entity Type Code : Individual
Provider Name (Legal Business Name) : CHRISTIAN RODRIGO GONZALEZ DO
Provider Business Mailing Address
First Line : 221 N CELIA AVE
Second Line :
City : MUNCIE
State : IN
Zip : 47303-4609
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 221 N CELIA AVE
Second Line :
City : MUNCIE
State : IN
Zip : 47303-4609
Country : US
Telephone Number : 765-747-8413
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/07/2026
Last Update Date : 04/07/2026

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Directions to “ CHRISTIAN RODRIGO GONZALEZ DO” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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