Individual
GREGG E KISSEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2402 WINNEBAGO ST, MADISON, WI 53704-5341
(608) 828-7603
(608) 242-6848
Mailing address
2125 FOX AVE, MADISON, WI 53711-1920
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
40170
WI
Other
Enumeration date
03/31/2006
Last updated
12/16/2024
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