Individual
MRS. ANNA GREDITOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
12507 N EMILY LN, MEQUON, WI 53092-2611
(414) 915-6255
(262) 243-9676
Mailing address
12507 N EMILY LN, MEQUON, WI 53092-2611
(414) 915-6255
(262) 243-9676
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
2311
WI
Other
Enumeration date
01/08/2007
Last updated
07/08/2007
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