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Individual

DR. GREGORY N ROCCO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
10400 75TH ST, KENOSHA, WI 53142
(262) 948-6839
(262) 948-6818
Mailing address
PO BOX 735044, CHICAGO, IL 60673-5044
(800) 326-2250

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
44605
WI
207RS0010X
Sports Medicine (Internal Medicine) Physician
44605
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
34262800
WI
Enumeration date
08/24/2006
Last updated
07/15/2025
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