Individual
GREGORY H MOTL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
10 TOWER DR, SUN PRAIRIE, WI 53590-1239
(608) 825-3008
(608) 825-3794
Mailing address
10 TOWER DR, SUN PRAIRIE, WI 53590-1239
(608) 825-3008
(608) 825-3794
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
23827-020
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30714900
—
WI
Enumeration date
05/26/2006
Last updated
10/04/2016
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