| Greensburg Medical Group | |
|
995 N Michigan Ave Ste.95 Greensburg IN 47240-1487 | |
| (812) 663-8079 | |
| Not Available |
| Full Name | Greensburg Medical Group |
|---|---|
| Speciality | Internal Medicine |
| Location | 995 N Michigan Ave, Greensburg, Indiana |
| Authorized Official Name and Position | Gregory A. Wiseman (OWNER) |
| Authorized Official Contact | 8126638079 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Greensburg Medical Group 995 N Michigan Ave Ste.95 Greensburg IN 47240-1487 Ph: (812) 663-8079 | Greensburg Medical Group 995 N Michigan Ave Ste.95 Greensburg IN 47240-1487 Ph: (812) 663-8079 |
| NPI Number | 1215061981 |
|---|---|
| Provider Enumeration Date | 03/15/2007 |
| Last Update Date | 06/14/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215061981 | NPI | - | NPPES |
| 100098460A | Medicaid | IN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
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