Individual
DANA A GRAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
W231N1440 CORPORATE CT, WAUKESHA, WI 53186-1503
(262) 896-6000
(262) 896-3921
Mailing address
PO BOX 735044, CHICAGO, IL 60673-5044
(800) 326-2250
Taxonomy
Speciality
Code
Description
License number
State
202K00000X
Phlebology Physician
036.123603
IL
2085R0202X
Diagnostic Radiology Physician
036123603
IL
2085R0202X
Diagnostic Radiology Physician
Primary
48974
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
34859900
—
WI
Enumeration date
07/14/2006
Last updated
01/25/2024
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