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Individual

PAUL GREBLO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PHD

Contact information

Practice address
752 N HIGH POINT RD, MADISON, WI 53717-2236
(608) 824-4000
(608) 824-4938
Mailing address
752 N HIGH POINT RD, MADISON, WI 53717-2236
(608) 824-4000
(608) 824-4938

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
2113-057
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1356383830
WI
Enumeration date
06/11/2006
Last updated
11/17/2020
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