Organization
GREENSBURG MEDICAL ASSOCIATES P.C.
Active
Parent organization
GREENSBURG MEDICAL ASSOCIATES P.C.
Other names
Greensburg Medical Group
Organization subpart
Yes
Provider details
NPI number
Legal business name
GREENSBURG MEDICAL ASSOCIATES P.C.
Authorized official
GREGORY A. WISEMAN M.D. (OWNER)
(812) 663-8079
Entity
Organization
Contact information
Practice address
995 N MICHIGAN AVE, STE.95, GREENSBURG, IN 47240-1487
(812) 663-8079
Mailing address
995 N MICHIGAN AVE, STE.95, GREENSBURG, IN 47240-1487
(812) 663-8079
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100098460A
—
IN
Enumeration date
03/15/2007
Last updated
06/14/2010
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