GREGORY MELLINGER

WARSAW, IN
NPI1679763437
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: IN  99027179A)
Enumeration Date2007-07-27
Last Update Date2008-01-15
Business Address
-- GREGORY MELLINGER PA
1500 PROVIDENT DR SUITE A
WARSAW, IN 46580-3291
Phone number: 574-372-5823
Mailing Address
-- GREGORY MELLINGER PA
1500 PROVIDENT DR SUITE A
WARSAW, IN 46580-3291
Phone number: 574-372-5823
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