Individual
MR. GREGORY JAMES FOLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
611 SHERMAN AVE E, FORT ATKINSON, WI 53538-1960
(920) 568-5000
Mailing address
N3610 OESTREICH LN, FORT ATKINSON, WI 53538-9723
(920) 568-4545
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
131-033
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0028
MCR PRO FEE SEQ.#
WI
05
—
43282300
—
WI
01
—
FOLEYGRE
MERCYCARE
WI
Enumeration date
01/05/2007
Last updated
07/09/2007
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