Gregory Lee Chupp MD

NPI 1003992025 - Family Medicine - 207Q00000X

NPI Details
NPI 1003992025
Gender Male
Enumeration Date 10/31/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
316 E MAUMEE ST
ANGOLA IN, 46703, US
Phone (260) 833-9393
Fax
Business Location
PO BOX 982
FREMONT IN, 46737-0982, US
Phone (260) 833-9393
Fax (260) 833-0914
Toxanomy
Taxonomy Code 207Q00000X
License State Indiana
License Number 01032878A
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According to our database, Gregory Lee Chupp MD NPI is 1003992025, taxonomy code is 207Q00000X and license number is 01032878A, license state is located at Indiana. Gregory Lee Chupp MD physically located at 316 E Maumee St, Angola IN, 46703. NPI Number Gregory Lee Chupp MD has the Individual type.

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1003992025 NPI number is provided on an as is basis without warranty of any kind. 1003992025 is maintained by the National Plan & Provider Enumeration System. The contents of Gregory Lee Chupp MD are for informational purposes only.