Individual
JANICE A GREGORY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
6901 W EDGERTON AVE, GREENFIELD, WI 53220-4420
(414) 421-8400
Mailing address
14675 W HONEY LN, NEW BERLIN, WI 53151-2317
(262) 827-0113
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
351
WI
Other
Enumeration date
05/12/2006
Last updated
09/28/2012
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