Individual
GREGORY BAUWENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2001 W 86TH ST, INDIANAPOLIS, IN 46260-1902
(317) 802-3140
Mailing address
4685 RELIABLE PKWY, CHICAGO, IL 60686-0001
(317) 802-3140
(317) 870-0499
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
01048016
IN
Other
Enumeration date
09/28/2006
Last updated
10/19/2007
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