Individual
GREGORY ELTON MANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MPAS, PA-C
Contact information
Practice address
2600 N LIMESTONE ST, SPRINGFIELD, OH 45503-1114
(937) 523-9850
Mailing address
2600 N LIMESTONE ST, SPRINGFIELD, OH 45503-1114
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
—
OH
Other
Enumeration date
09/01/2021
Last updated
10/04/2021
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