Individual
GREGORY J GRIEPENTROG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
47926
MN
207W00000X
Ophthalmology Physician
52797-020
WI
207WX0200X
Ophthalmic Plastic and Reconstructive Surgery Physician
52797
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1114991890
—
WI
05
—
548332800
—
MN
01
—
60983
DEAN HEALTH INSURANCE
WI
Enumeration date
02/17/2006
Last updated
09/14/2024
Update your record
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