Individual
PATRICK B GREGORY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
11108 PARKVIEW CIRCLE DR, FORT WAYNE, IN 46845-1730
(260) 266-5700
Mailing address
11109 PARKVIEW PLAZA DR # 117, FORT WAYNE, IN 46845-1701
(260) 266-6013
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
45415
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
34344400
—
WI
Enumeration date
09/12/2005
Last updated
10/10/2022
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