Individual
GREGORY A KONRATH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
285 W 12TH ST, STE 106, PERU, IN 46970-1653
(765) 472-8041
(765) 475-8956
Mailing address
285 W 12TH ST, STE 106, PERU, IN 46970-1653
(765) 472-8041
(765) 475-8956
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
01049739A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200212630
—
IN
05
—
200343390A
—
OK
Enumeration date
03/14/2006
Last updated
01/18/2013
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