Individual
GREGORY LEE WERNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.A.-C
Contact information
Practice address
143 S GIBSON ST, MEDFORD, WI 54451-1622
(715) 748-2121
Mailing address
W6435 CEDAR ST, MEDFORD, WI 54451-8853
(715) 965-2181
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
3532 - 23
WI
Other
Enumeration date
06/10/2015
Last updated
06/10/2015
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