Individual
DR. GREGORY L WHITCOMB
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
1155 N MAYFAIR RD, SPINE CARE CLINIC AT PLANK ROAD, MILWAUKEE, WI 53226-3421
(414) 955-7199
(414) 955-0110
Mailing address
1155 N MAYFAIR RD, SPINE CARE CLINIC AT PLANK ROAD, MILWAUKEE, WI 53226-3421
(414) 955-7199
(414) 955-0110
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1693
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
002000328C
HUMANA
—
05
—
1649226838
—
WI
Enumeration date
05/26/2006
Last updated
10/12/2021
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