Individual
DR. DAVID CHARLES GRELLMANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
6913 N MAIN ST, GRANGER, IN 46530-9601
(574) 647-1500
(574) 243-4306
Mailing address
3245 HEALTH DRIVE, SUITE 100, GRANGER, IN 46530-3245
(574) 647-1840
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
01052373A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200264590
—
IN
Enumeration date
10/11/2005
Last updated
04/28/2023
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