Individual
GREG PALMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
107 BRIDGEWAY ST, SUITE 201, AURORA, IN 47001-1378
(812) 926-0814
(812) 926-2825
Mailing address
107 BRIDGEWAY ST, SUITE 201, AURORA, IN 47001-1378
(812) 926-0814
(812) 926-2825
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
01033594A
IN
207N00000X
Dermatology Physician
35052001
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0777379
—
OH
05
—
200895910
—
IN
Enumeration date
06/15/2005
Last updated
03/25/2010
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