Individual
GREGORY STROCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1199 HADLEY RD STE 104, MOORESVILLE, IN 46158-1788
(317) 528-8494
(317) 528-7118
Mailing address
PO BOX 781076, DETROIT, MI 48278-1076
(317) 528-4800
(317) 865-1479
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
01060580
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000626047
ANTHEM BCBS
IN
05
—
200513380
—
IN
Enumeration date
04/14/2006
Last updated
09/14/2023
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