Gregory J. Boulanger, M.D., S.C.

LBN: Gregory J. Boulanger, M.D., S.C.
Gregory J. Boulanger, M.D., S.C. is an health care organization with primary practice located at 2025 E Newport Ave , Milwaukee WI 53211-2906. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Anesthesiology, Allopathic & Osteopathic Physicians / Pain Medicine. Allopathic & Osteopathic Physicians / Anesthesiology is the primary health care specialty. Gregory J. Boulanger, M.D., S.C. can be contacted via phone (414) 961-3300, or through Boulanger, Gregory J via phone (414) 961-3300.

Contact Information

Primary practice address
2025 E Newport Ave Milwaukee WI 53211-2906
Phone: (414) 961-3300
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Boulanger, Gregory J Doctor of Medicine (MD)
Phone: (414) 961-3300

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X
Allopathic & Osteopathic Physicians / Pain Medicine 207LP2900X

Profile Details

NPI number 1316993777
LBN Legal business name Gregory J. Boulanger, M.D., S.C.
DBA Doing business as
Authorized official Boulanger, Gregory J Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date May 26th, 2006
Last updated Aug 22nd, 2020 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1316993777 NPPES
Wisconsin MEDICAID 31782800

Popular Providers