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Individual

DR. GREGORY M NIERENGARTEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DO

Contact information

Practice address
1555 S LAYTON BLVD, MILWAUKEE, WI 53215
(414) 385-6600
(414) 385-6612
Mailing address
3795 W HOLMES AVE, GREENFIELD, WI 53221-2515
(414) 282-3934

Taxonomy

Speciality
Code
Description
License number
State
207QA0505X
Adult Medicine Physician
Primary
20844
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
30013700
WI
Enumeration date
11/21/2006
Last updated
07/08/2007
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