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Individual

GREGORY J WCISEL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1168 FIRST COLONIAL RD STE 100, VIRGINIA BEACH, VA 23454-2444
(757) 481-2515
(757) 481-4064
Mailing address
PO BOX 7068, PORTSMOUTH, VA 23707-0068
(757) 686-3508
(757) 686-0541

Taxonomy

Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
0101229777
VA
207RP1001X
Pulmonary Disease Physician
44622
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
34223300
WI
Enumeration date
07/31/2006
Last updated
11/12/2019
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