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Dr. Gregg R Mattison, MD
Diagnostic Radiology Physician in Fort Wayne, Indiana
NPI 1023062130

Gregg R Mattison is a Diagnostic Radiology Physician based in Fort Wayne, IN and is specialized in Diagnostic Radiology. Gregg R Mattison practices in Fort Wayne, IN and has the professional credentials of MD. The NPI Number for Gregg R Mattison is 1023062130 and holds a License No. 35188 (Indiana).

The current practice location address for Gregg R Mattison is 3707 New Vision Drive, Fort Wayne, IN and can be reached out via phone at 260-471-9466 and via fax at 260-484-5919.

Location: 3707 New Vision Drive, Fort Wayne, IN, 46805-4638
person
Provider Profile Details
NPI Number
1023062130
Provider Name
Gregg R Mattison
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
3707 New Vision Drive, Fort Wayne, IN, 46805-4638
Phone Number
260-471-9466
Fax Number
260-484-5919
Provider Enumeration Date
05/22/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
000000092615 01 IN ANTHEM
2100630 05 OH
4074924100 05 MI
1554 01 IN PHP
institution
Provider Business Practice Location Address Details
Address
3707 New Vision Drive
City
State
Zip
46895-5602
Phone Number
260-471-9466
Fax Number
260-484-5919
person
Provider Business Mailing Address Details
Address
3707 New Vision Drive
City
State
Zip
46895-5602
Phone Number
260-471-9466
Fax Number
260-484-5919
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Diagnostic Radiology
Taxonomy
License No.
35188 (Indiana)
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
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