GREGG R MATTISON

FORT WAYNE, IN
NPI1023062130
Entity TypeIndividual
GenderMale
Sole Proprietor ?
Primary Taxonomy2085R0202X Radiology Diagnostic Radiology
(Licence: IN  35188)
Enumeration Date2006-05-22
Last Update Date2007-07-08
Business Address
DR. GREGG R MATTISON M.D.
3707 NEW VISION DRIVE
FORT WAYNE, IN 46895-5602
Phone number: 260-471-9466
Mailing Address
DR. GREGG R MATTISON M.D.
2200 RANDALLIA DR
FORT WAYNE, IN 46805-4638
Phone number: 260-373-4731
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