Individual
DR. JOSEPH P O'GRADY JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
8701 WATERTOWN PLANK ROAD, MEDICAL COLLEGE OF WISCONSIN DEPT OF PSYCHIATRY, MILWAUKEE, WI 53226
(414) 955-8950
(414) 955-6295
Mailing address
8701 WATERTOWN PLANK ROAD, MEDICAL COLLEGE OF WISCONSIN DEPT OF PSYCHIATRY, MILWAUKEE, WI 53226
(414) 955-8950
(414) 955-6295
Taxonomy
Speciality
Code
Description
License number
State
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
23174
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
002000218J
HUMANA
—
05
—
1619920394
—
WI
Enumeration date
05/17/2006
Last updated
05/20/2014
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