Individual
GREGORY L WOODFILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
5300 MEMORIAL DR, TWO RIVERS, WI 54241-3923
(920) 793-7300
(920) 793-7391
Mailing address
PO BOX 735044, CHICAGO, IL 60673-5044
(800) 326-2250
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
2008-01845
NC
207V00000X
Obstetrics & Gynecology Physician
Primary
22616
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100208965
—
WI
01
—
36118594
ILLINOS STAT LICENSE
IL
Enumeration date
06/14/2005
Last updated
07/28/2025
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