Individual
JOSEPH W GRAVEL JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2400 W VILLARD AVE, MILWAUKEE, WI 53209-4901
(414) 527-8348
(414) 527-8046
Mailing address
8701 W WATERTOWN PLANK RD, MILWAUKEE, WI 53226-3548
(414) 955-8878
(414) 955-0064
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
70283
MA
207Q00000X
Family Medicine Physician
Primary
72010-20
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100095314
—
WI
Enumeration date
10/10/2005
Last updated
07/03/2024
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