Individual
GREGORY PAUL HARBACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
444 E TIMBER DR, RHINELANDER, WI 54501
(715) 369-2300
Mailing address
444 E TIMBER DR, RHINELANDER, WI 54501-2852
(715) 369-2300
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
16162
NV
207XX0004X
Orthopaedic Foot and Ankle Surgery Physician
2013001919
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1679558290
—
MO
05
—
1679558290
—
NV
05
—
200974430A
—
KS
01
—
948-320
STATE LICENSE
WI
Enumeration date
12/07/2005
Last updated
02/05/2021
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