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Individual

GREGORY C. DOWLING

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
2512 E DUPONT RD STE 200, FORT WAYNE, IN 46825-1609
(260) 458-3760
(260) 458-3761
Mailing address
6920 POINTE INVERNESS WAY STE 200, FORT WAYNE, IN 46804-7934
(260) 479-3516
(260) 479-3520

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
01073642A
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
201092090
IN
Enumeration date
06/13/2012
Last updated
12/16/2020
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