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Organization
GRAYCO LLC
Active
Organization
GRAYCO LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
THERESA GRAY DPM (OWNER)
(414) 517-5221
Entity
Organization
Contact information
Practice address
7128 TAMARACK CT, MEQUON, WI 53092-8517
(414) 517-5221
Mailing address
7128 TAMARACK CT, MEQUON, WI 53092-8517
(414) 517-5221
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
—
—
Other
Enumeration date
12/04/2019
Last updated
12/04/2019
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