Individual
JUDITH A GRESKY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
36500 AURORA DR, SUMMIT, WI 53066-4899
(262) 434-1000
Mailing address
36500 AURORA DR, SUMMIT, WI 53066-4899
(262) 434-1000
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
4567
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000359276
ANTHEM
OH
05
—
2384263
—
OH
01
—
344428256101
CARESOURCE
OH
05
—
4665356
—
MI
Enumeration date
07/14/2005
Last updated
01/11/2018
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