Individual
DR. GREG THOMAS GRAGLIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
101 OAKRIDGE CT, SUITE A, WATERTOWN, WI 53094-4150
(920) 261-9610
(920) 261-9671
Mailing address
101 OAKRIDGE CT, SUITE A, WATERTOWN, WI 53094-4150
(920) 261-9610
(920) 261-9671
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
871025
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
43236600
—
WI
Enumeration date
05/19/2006
Last updated
11/12/2009
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