Individual
GREGORY GILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
425 WIND RIDGE DR, WAUSAU, WI 54401-4149
(715) 675-3391
(715) 675-4253
Mailing address
425 WIND RIDGE DR, WAUSAU, WI 54401-4149
(715) 675-3391
(715) 675-4253
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
25268
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30674600
—
WI
Enumeration date
09/26/2006
Last updated
11/11/2022
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