Individual
GREGORY WAYNE ISCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MA
Contact information
Practice address
7230 ENGLE RD STE 305, FORT WAYNE, IN 46804
(260) 273-9938
Mailing address
4630 W JEFFERSON BLVD STE 11A, FORT WAYNE, IN 46804-6800
(260) 273-9938
(260) 434-1606
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
01/11/2012
Last updated
09/02/2019
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