Individual
GREGORY AUSTIN POLITZER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
301 HENRY ST, NORTH VERNON, IN 47265-1030
(812) 352-4300
(812) 352-4301
Mailing address
301 HENRY ST, NORTH VERNON, IN 47265-1030
(812) 352-4300
(812) 352-4301
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
01069078A
IN
207Q00000X
Family Medicine Physician
39720
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200531810
—
IN
05
—
2618993
—
OH
05
—
64109325
—
KY
Enumeration date
03/21/2006
Last updated
06/26/2011
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