Individual
DAVID D GREGORY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2825 HUNTERS TRL, PORTAGE, WI 53901-3429
(608) 724-7161
(608) 745-3060
Mailing address
2825 HUNTERS TRL, PORTAGE, WI 53901-3429
(608) 724-7161
(608) 745-3060
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
23436-020
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1346298205
—
WI
Enumeration date
05/04/2006
Last updated
01/22/2016
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