Dr RYAN A GONZALES is a male medical professional, specializing in Hematology/oncology. He graduated in 2003.
FORT WAYNE MEDICAL ONCOLOGY AND HEMATOLOGY INC
7910 W JEFFERSON BLVD
SUITE 108
FORT WAYNE
IN
468044159
Tel: 2604848830
| Npi | 1134330061 |
| Pac Id | 5698867752 |
| Professional Enrollment Id | I20100727000771 |
| Last Name | GONZALES |
| First Name | RYAN |
| Middle Name | A |
| Suffix | |
| Gender | M |
| Credential | |
| Medical School Name | OTHER |
| Graduation Year | 2003 |
| Primary Specialty | HEMATOLOGY/ONCOLOGY |
| Secondary Specialty 1 | INTERNAL MEDICINE |
| Secondary Specialty 2 | |
| Secondary Specialty 3 | |
| Secondary Specialty 4 | |
| All Secondary Specialties | INTERNAL MEDICINE |
| Organization Legal Name | FORT WAYNE MEDICAL ONCOLOGY AND HEMATOLOGY INC |
| Group Practice Pac Id | 2961394440 |
| Number Of Group Practice Members | 21 |
| Line 1 Street Address | 7910 W JEFFERSON BLVD |
| Line 2 Street Address | SUITE 108 |
| Marker Of Address Line 2 Suppression | |
| City | FORT WAYNE |
| State | IN |
| Zip Code | 468044159 |
| Phone Number | 2604848830 |
| Hospital Affiliation Ccn 1 | 151310 |
| Hospital Affiliation Lbn 1 | PARKVIEW WABASH HOSPITAL, INC |
| Hospital Affiliation Ccn 2 | 150017 |
| Hospital Affiliation Lbn 2 | LUTHERAN HOSPITAL OF INDIANA |
| Hospital Affiliation Ccn 3 | 151318 |
| Hospital Affiliation Lbn 3 | DUKES MEMORIAL HOSPITAL |
| Hospital Affiliation Ccn 4 | 150091 |
| Hospital Affiliation Lbn 4 | PARKVIEW HUNTINGTON HOSPITAL |
| Hospital Affiliation Ccn 5 | 150101 |
| Hospital Affiliation Lbn 5 | PARKVIEW WHITLEY HOSPITAL |
| Professional Accepts Medicare Assignment | Y |
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