Individual
MR. GREGORY D BUCHANAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
1649 E 80TH AVE STE 407, MERRILLVILLE, IN 46410-5737
(219) 614-2777
(219) 945-0412
Mailing address
400 N LAKE PARK AVE APT E4S, HOBART, IN 46342-3026
(219) 805-4155
(219) 945-0412
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT20901901
IN
Other
Enumeration date
12/07/2022
Last updated
12/07/2022
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