Individual
DR. GREGG A NOWAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
4600 W LOOMIS RD STE 110, GREENFIELD, WI 53220-4858
(414) 481-1021
(414) 481-3044
Mailing address
4600 W LOOMIS RD, STE 110, GREENFIELD, WI 53220-4858
(414) 481-1021
(414) 481-3044
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2104
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
70560
MEDICARE PIN
—
Enumeration date
12/04/2006
Last updated
07/21/2022
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