Individual
GREGORY P GRAMELSPACHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1001 W 10TH ST, INDIANAPOLIS, IN 46202-2859
(317) 630-7979
(317) 630-2668
Mailing address
8910 PURDUE RD, STE.500, INDIANAPOLIS, IN 46268-6100
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
01032174A
IN
207RH0002X
Hospice and Palliative Medicine (Internal Medicine) Physician
01032174A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000086757
ANTHEM
IN
05
—
100129550
—
IN
Enumeration date
04/26/2006
Last updated
02/16/2012
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