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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

SAMUEL DOUGLAS GREESON, MD

Active

SAMUEL DOUGLAS GREESON, MD is a Occupational Medicine healthcare provider located in FORT WAYNE, Indiana. NPI 1760565402 is currently active in the NPPES registry. Verify at CMS.

Occupational Medicine · FORT WAYNE, IN

Registration Details

NPI Number
1760565402
Provider Type
Individual
Gender
Male
NPI Issued
Oct 24, 2006 (19.77186145869 yrs)
Last Updated
Mar 28, 2022
Licenses
01028597A (IN)
01028597A (IN)
01028597A (IN)

Practice Information

Address
7333 W JEFFERSON BLVD
FORT WAYNE, IN, 468046280
Browse IN providers · Browse ZIP 46804
Phone
2604583830
Fax
2604583831
Primary Specialty
Occupational Medicine
2083X0100X
Additional Specialty
Occupational Medicine

Other Occupational Medicine Providers in FORT WAYNE, IN

Name Credential NPI
THOMAS SAVOIE D.O. 1568572808
DR. DANIEL J SIMMONDS M.D. 1063635464
MICHAEL KNIPP M.D., M.S. 1639368400
TUNGYUN DAVID WU MD 1679702039
DR. OMOTAYO TEMITOPE FAWIBE MD 1851634554
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.