Individual
DR. GREGORY CONRAD WALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
RR 1 BOX 1000, LINTON, IN 47441-9482
(812) 847-4471
Mailing address
7144 AIGNER CT, INDIANAPOLIS, IN 46278-2301
(317) 875-9255
Taxonomy
Speciality
Code
Description
License number
State
146D00000X
Personal Emergency Response Attendant
Primary
01033829
IN
Other
Enumeration date
08/13/2006
Last updated
07/08/2007
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