Grieshaber, Gordon J
Grieshaber, Gordon J is an individual health care provider with primary practice located at 104 High St , Mineral Point WI 53565-1289. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Grieshaber, Gordon J can be contacted via phone (608) 987-2346.Contact Information
Primary practice address
104 High St
Mineral Point WI 53565-1289
Phone: (608) 987-2346
Fax: (608) 987-2490
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 34127 | Wisconsin |
Profile Details
| NPI number | 1174518039 |
|---|---|
| LBN Legal business name | Grieshaber, Gordon J |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 16th, 2005 |
| Last updated | Feb 1st, 2013 - about 11 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1174518039 | NPPES |
| Wisconsin | MEDICAID | 31918300 |
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