Individual
DR. GERALD W GREENFIELD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
6401 ODANA RD, MADISON, WI 53719-1126
(608) 271-8799
Mailing address
6401 ODANA RD, MADISON, WI 53719-1126
(608) 271-8799
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
1416-057
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
39084500
—
WI
Enumeration date
03/19/2007
Last updated
07/09/2007
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