Kelly, Teresa Gross

Kelly, Teresa Gross is an individual health care provider with primary practice located at 9000 W Wisconsin Ave Pediatric Radiology, Milwaukee WI 53226-4874. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Radiology, which is considered as her primary health care specialty. Kelly, Teresa Gross can be contacted via phone (414) 266-1686.

Contact Information

Primary practice address
9000 W Wisconsin Ave Pediatric Radiology Milwaukee WI 53226-4874
Phone: (414) 266-1686
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Radiology 2085P0229X ME70684 Florida
Allopathic & Osteopathic Physicians / Pediatric Radiology 2085P0229X 52993 Wisconsin

Profile Details

NPI number 1275580672
LBN Legal business name Kelly, Teresa Gross
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 30th, 2006
Last updated Mar 12th, 2024 - about 9 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 1275580672 NPPES
Wisconsin MEDICAID 1275580672
Wisconsin MEDICAID 250150300

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