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Individual

GREGORY KETZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
3970 N OAKLAND AVE, STE 102, SHOREWOOD, WI 53211
(414) 963-6330
Mailing address
3970 N OAKLAND AVE, STE 102, SHOREWOOD, WI 53211

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
WI

Other

Enumeration date
06/05/2018
Last updated
06/05/2018
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