Individual
JOHN JOSEPH GRAYKOSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
1222 E WOODLAND AVE, BARRON, WI 54812-1765
(715) 537-3166
Mailing address
PO BOX 1510, EAU CLAIRE, WI 54702-1510
(715) 838-5222
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
1944023
WI
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
1944023
WI
207PP0204X
Pediatric Emergency Medicine (Emergency Medicine) Physician
1944023
WI
207PT0002X
Medical Toxicology (Emergency Medicine) Physician
1944023
WI
363A00000X
Physician Assistant
Primary
1944
WI
Other
Enumeration date
05/22/2006
Last updated
10/11/2019
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