Griepentrog, Gregory J
Griepentrog, Gregory J is an individual health care provider with primary practice located at 925 N 87Th St Medical College Clinics At The Eye Institute, Milwaukee WI 53226-4812. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Ophthalmology, Allopathic & Osteopathic Physicians / Ophthalmic Plastic and Reconstructive Surgery. Allopathic & Osteopathic Physicians / Ophthalmic Plastic and Reconstructive Surgery is his primary health care specialty. Griepentrog, Gregory J can be contacted via phone (414) 456-2020.Contact Information
Primary practice address
925 N 87Th St Medical College Clinics At The Eye Institute
Milwaukee WI 53226-4812
Phone: (414) 456-2020
Fax: (414) 456-6300
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Ophthalmology | 207W00000X | 52797-020 | Wisconsin |
| Allopathic & Osteopathic Physicians / Ophthalmic Plastic and Reconstructive Surgery | 207WX0200X | 52797 | Wisconsin |
Profile Details
| NPI number | 1114991890 |
|---|---|
| LBN Legal business name | Griepentrog, Gregory J |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 17th, 2006 |
| Last updated | Mar 6th, 2024 - about last year |
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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1114991890 | NPPES |
| Wisconsin | MEDICAID | 1114991890 | |
| Wisconsin | Other | 60983 | |
| Wisconsin | MEDICAID | 548332800 |
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