Gregory Allen Gremban in Eagle River - General Practice
Gregory Allen Gremban - NPI 1750412177
Gregory Allen Gremban is a General Practice in Eagle River, Wisconsin. Gregory Allen Gremban practices all healthcare services and medical treatments related to General Practice. The NPI Number for Gregory Allen Gremban is 1750412177. The last update date is 2016-02-25.
Gregory Allen Gremban's current location address is 865 N. Railroad Street, Eagle River, Wisconsin. You can contact this provider via phone number 7154796100 and fax number 7154772162. The mailing address for Gregory Allen Gremban is 865 N. Railroad Street, Eagle River, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Gregory Allen Gremban |
|---|---|
| Address | 865 N. Railroad Street, Eagle River, Wisconsin |
| Phone Number | 7154796100 |
| Fax Number | 7154772162 |
| Sole Proprietor | N |
| Credentials | DDS |
NPI Number Detail
| NPI Number | 1750412177 |
|---|---|
| Provider Enumeration Date | 2007-03-08 |
| Last Updated Date | 2016-02-25 |
Provider Mailing Address Detail
| Address | 865 N. Railroad Street |
|---|---|
| City | Eagle River |
| State | Wisconsin (WI) |
| Post Code | 545218834 |
| Phone Number | 7154796100 |
| Fax Number | 7154772162 |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 1223G0001X |
| Licence No | 5242-15 |
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Definition: A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
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What is the unique provider identifier assigned to Gregory Allen Gremban?
The Gregory Allen Gremban has been issued the NPI (National Provider Identifier) 1750412177 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you provide the complete address where Gregory Allen Gremban is physically located?
The Gregory Allen Gremban is situated at the following address: 865 N. Railroad Street, Eagle River, WI 545218834.
What is Gregory Allen Gremban's specialized field of practice, and what is the corresponding taxonomy classification code?
The Gregory Allen Gremban's area of specialization is General Practice, and the corresponding taxonomy code that categorizes this field of practice is 1223G0001X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1750412177 to Gregory Allen Gremban?
The Centers for Medicare & Medicaid Services originally issued the 1750412177 to Gregory Allen Gremban on 2007-03-08.
As of what date was the information regarding Gregory Allen Gremban, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Gregory Allen Gremban, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2016-02-25.
NPI Number: 1124025044
Address: 9244 W Atlantic Blvd Apt 1238, Coral Springs, FL