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Individual

GREGORY P GRAMELSPACHER

Active
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Individual

GREGORY P GRAMELSPACHER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

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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