Gray, Dana A

Gray, Dana A is an individual health care provider with primary practice located at W231N1440 Corporate Ct , Waukesha WI 53186-1503. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Phlebology, Allopathic & Osteopathic Physicians / Diagnostic Radiology. Allopathic & Osteopathic Physicians / Diagnostic Radiology is her primary health care specialty. Gray, Dana A can be contacted via phone (262) 896-6000.

Contact Information

Primary practice address
W231N1440 Corporate Ct Waukesha WI 53186-1503
Phone: (262) 896-6000
Fax: (262) 896-3921
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Phlebology 202K00000X 036.123603 Illinois
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 036123603 Illinois
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 48974 Wisconsin

Profile Details

NPI number 1194741389
LBN Legal business name Gray, Dana A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 14th, 2006
Last updated Jan 25th, 2024 - about 8 months 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 1194741389 NPPES
Wisconsin MEDICAID 34859900

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