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Individual

DR. GREGORY JOSEPH WHITE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
535 CEDAR CROSS ROAD, DUBUQUE, IA 52003-7704
(563) 588-0506
(563) 588-0451
Mailing address
535 CEDAR CROSS ROAD, DUBUQUE, IA 52003-7704
(563) 588-0506
(563) 588-0451

Taxonomy

Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
33487
IA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0211748
IA
01
110210286
RAILROAD MEDICARE PROVIDE
IA
01
42098297120
JOHN DEERE PROVIDER ID
IA
Enumeration date
11/10/2005
Last updated
07/31/2019
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