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Individual
GREGORY ERIC MUMM
Active
Individual
GREGORY ERIC MUMM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
48817
WI
207RR0500X
Rheumatology Physician
Primary
7481
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6632220
—
SD
Enumeration date
05/03/2006
Last updated
10/31/2019
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