Gregg E Tetting MD

NPI 1023196524 - Pediatrics - 208000000X

NPI Details
NPI 1023196524
Gender Male
Enumeration Date 11/01/2006
Last Updated 05/17/2010
Entity Type Individual
Active Over 10 years ago
Practice Location
331 E. PUETZ RD
STE 104
OAK CREEK WI, 53154-3253, US
Phone (414) 570-3590
Fax (414) 570-3599
Business Location
100-15TH AVE.
STE 180
SOUTH MILWAUKEE WI, 53172-1160, US
Phone (414) 768-5430
Fax (414) 762-4225
Toxanomy
Taxonomy Code 208000000X
License State Wisconsin
License Number 37559-20
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According to our database, Gregg E Tetting MD NPI is 1023196524, taxonomy code is 208000000X and license number is 37559-20, license state is located at Wisconsin. Gregg E Tetting MD physically located at 331 E. Puetz Rd, Oak Creek WI, 53154-3253. NPI Number Gregg E Tetting MD has the Individual type.

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1023196524 NPI number is provided on an as is basis without warranty of any kind. 1023196524 is maintained by the National Plan & Provider Enumeration System. The contents of Gregg E Tetting MD are for informational purposes only.