Individual
DR. GREGORY EVANGELATOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4555 W SCHROEDER DR, BROWN DEER, WI 53223-1475
(800) 767-4411
(414) 797-0804
Mailing address
34700 VALLEY RD, OCONOMOWOC, WI 53066-4500
(262) 646-4411
(262) 646-1049
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
70870
WI
2084P0804X
Child & Adolescent Psychiatry Physician
70870
WI
Other
Enumeration date
04/18/2016
Last updated
07/20/2021
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