Individual
KYLE GREIBER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
202 S PARK ST 4 TOWER, MADISON, WI 53715
(608) 417-6676
(414) 955-6528
Mailing address
9403 W WISCONSIN AVE, MILWAUKEE, WI 53226-3525
(608) 575-1986
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
69937
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1114459187
—
WI
Enumeration date
03/29/2017
Last updated
12/21/2021
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