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Individual

GREGORY EDWARD BUCK

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1144 W PLYMOUTH ST, BREMEN, IN 46506-1842
(574) 546-5363
(574) 546-2575
Mailing address
3245 HEALTH DR STE 100, GRANGER, IN 46530-1380
(574) 647-2129
(574) 335-0760

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
01039562
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100358210A
IN
Enumeration date
06/06/2006
Last updated
11/17/2023
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