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Individual

DR. JOHN RALPH GIELOW

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PSYD

Contact information

Practice address
827 N CASS ST, MILWAUKEE, WI 53202-3908
(414) 278-7980
(414) 278-8299
Mailing address
827 N CASS ST, MILWAUKEE, WI 53202-3908
(414) 278-7980
(414) 278-8299

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
1369
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
391938840017
BLUE CROSS & COMPCARE
WI
05
39235700
WI
01
6199225
UNITED HEALTHCARE
WI
Enumeration date
08/22/2006
Last updated
07/08/2007
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