Individual
GREGG A IMEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1201 HADLEY RD, MOORESVILLE, IN 46158-1737
(317) 831-1160
Mailing address
2001 N GRANVILLE AVE, MUNCIE, IN 47303-2110
(765) 284-0493
(765) 213-3240
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
01041679A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200006610A
—
IN
Enumeration date
05/19/2006
Last updated
03/30/2021
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