Individual
GREGG A HEATLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3844 SWOBODA RD, VERONA, WI 53593-8416
(608) 821-3182
Mailing address
3844 SWOBODA RD, VERONA, WI 53593-8416
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
29449
WI
Other
Enumeration date
02/24/2006
Last updated
09/15/2023
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