Individual
SCOTT M GRIEP
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MS, PA, ATC
Contact information
Practice address
720 S VAN BUREN ST, GREEN BAY, WI 54301-3538
(920) 433-9621
(920) 433-0565
Mailing address
744 S WEBSTER AVE, GREEN BAY, WI 54301-3505
(920) 433-9621
(920) 433-0565
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
2582-23
WI
Other
Enumeration date
05/18/2010
Last updated
04/05/2018
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