Individual
DR. GREGORY G THIRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
1223 W MAIN ST # 292, SUN PRAIRIE, WI 53590-1942
(608) 886-0568
Mailing address
1223 W MAIN ST # 292, SUN PRAIRIE, WI 53590-1942
(608) 373-1563
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2265
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2852411
—
WI
01
—
391776539010
BCBS
WI
Enumeration date
02/13/2006
Last updated
12/19/2013
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