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Individual

DR. AVIGDOR GREGORY ASNER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DO

Contact information

Practice address
975 PORT WASHINGTON RD, GRAFTON, WI 53024-9201
(262) 329-1000
Mailing address
PO BOX 735044, CHICAGO, IL 60673-5044
(800) 326-2250

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
R-11658
IA
208M00000X
Hospitalist Physician
Primary
81731
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100331252
WI
Enumeration date
06/10/2019
Last updated
09/18/2025
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