Individual
GREGORY MEDIS
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
600 HIGHLAND AVE, MADISON, WI 53792-0001
(606) 265-1700
(608) 833-6932
Mailing address
8007 EXCELSIOR DR, MADISON, WI 53717-1962
(608) 829-5201
(608) 833-6932
Taxonomy
Speciality
Code
Description
License number
State
207RX0202X
Medical Oncology Physician
Primary
28844
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30842900
—
WI
Enumeration date
02/27/2006
Last updated
07/08/2007
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