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Search › Indiana › 207P00000X

Gregory Pettaway, MD

NPI 1851701841 · on the registry since 2014

Practice

Address
615 N Michigan St
South Bend, IN 46601
Phone
(574) 647-1000
Organisation at this address
Memorial Hospital Of South Bend
Memorial Hospital Of South Bend
South Bend Emergency Physicians, Inc
Pediatrix Medical Group Of Indiana, Pc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
172

Registry record

Primary taxonomy
207P00000X
207P00000X
Also registered as
390200000X
Licence states on file
IN
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2022-07-21

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Indiana