Individual
CHRISTIAN DE GREGORIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
520 N 28TH AVE, SUITE 200, WAUSAU, WI 54401-4108
(715) 847-0094
Mailing address
520 N 28TH AVE, SUITE 200, WAUSAU, WI 54401-4108
Taxonomy
Speciality
Code
Description
License number
State
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
48159
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
34830400
—
WI
Enumeration date
05/17/2006
Last updated
04/26/2012
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