Durkin, Gretchen E

Durkin, Gretchen E is an individual health care provider with primary practice located at 2350 N Lake Dr Suite 406, Milwaukee WI 53211-4528. She recently has only one registered license in Allopathic & Osteopathic Physicians / Otolaryngology, which is considered as her primary health care specialty. Durkin, Gretchen E can be contacted via phone (414) 271-4141.

Contact Information

Primary practice address
2350 N Lake Dr Suite 406 Milwaukee WI 53211-4528
Fax: (414) 271-4343
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Otolaryngology 207Y00000X 24504 Wisconsin

Profile Details

NPI number 1790900900
LBN Legal business name Durkin, Gretchen E
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 14th, 2007
Last updated Jun 12th, 2012 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1790900900 NPPES
Wisconsin MEDICAID 30729700

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