Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
OFUNDEM ROSE GWAN, MD
Active Sole ProprietorOFUNDEM ROSE GWAN, MD is a General Practice healthcare provider located in RUSTON, Louisiana. NPI 1245440940 is currently active in the NPPES registry. Verify at CMS.
General Practice · RUSTON, LA
Registration Details
- NPI Number
- 1245440940
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- May 23, 2007 (19.242495964024 yrs)
- Last Updated
- Jan 23, 2023
- Licenses
-
MD.203609 (LA)MD.203609 (LA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1406 S VIENNA STRUSTON, LA, 712706428Browse LA providers · Browse ZIP 71270
- Phone
- 3182322456
- Fax
- 3182322457
- Primary Specialty
-
General Practice
208D00000X
- Additional Specialty
- General Practice
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.