Individual
CHAD E GREGORY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
500 VINCENT ST, STEVENS POINT, WI 54481-1842
(715) 997-9813
Mailing address
500 VINCENT ST, STEVENS POINT, WI 54481-1842
(715) 997-9813
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
4446-23
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1151445
NCCPA
—
01
—
4446-23
STATE LICENSE NUMBER
WI
Enumeration date
09/06/2012
Last updated
05/11/2022
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