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Individual

KARL A GREENE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
9555 76TH ST, PLEASANT PRAIRIE, WI 53158-1984
(262) 577-8000
(262) 577-8869
Mailing address
9555 76TH ST, PLEASANT PRAIRIE, WI 53158-1984
(262) 577-8000
(262) 577-8869

Taxonomy

Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
43655
WI
208600000X
Surgery Physician
43655
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1376535492
WI
05
34125200
WI
Enumeration date
08/16/2005
Last updated
06/27/2024
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