Individual
GREGORY LEE JUHL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1000 DUPONT RD, SUITE A, LOUISVILLE, KY 40207-4611
(502) 899-6150
(502) 891-6368
Mailing address
PO BOX 776351, CHICAGO, IL 60677-6351
(502) 588-9490
(502) 272-5116
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
24058
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100359650
—
IN
05
—
64240583
—
KY
Enumeration date
06/09/2005
Last updated
11/30/2016
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