John D Gray is a Family Medicine in Depere, Wisconsin. John D Gray practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for John D Gray is 1639284623. The last update date is 2023-03-07.
John D Gray's current location address is 1881 Chicago St, Depere, Wisconsin. You can contact this provider via phone number 9204038000 and fax number 9204038202. The mailing address for John D Gray is 1881 Chicago St, Depere, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Name | John D Gray |
|---|---|
| Address | 1881 Chicago St, Depere, Wisconsin |
| Phone Number | 9204038000 |
| Fax Number | 9204038202 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1639284623 |
|---|---|
| Provider Enumeration Date | 2006-08-20 |
| Last Updated Date | 2023-03-07 |
Provider Mailing Address Detail
| Address | 1881 Chicago St |
|---|---|
| City | Depere |
| State | Wisconsin (WI) |
| Post Code | 54115 |
| Phone Number | 9204038000 |
| Fax Number | 9204038202 |
Provider's Primary Taxonomy Detail
| Speciality | Family Medicine |
|---|---|
| Taxonomy | 207Q00000X |
| Licence No | 27644 |
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Definition: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine i |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 30419400 | WI | -- |
Post Comment/ Review Below
What is the unique identifier code issued to John D Gray by the Centers for Medicare & Medicaid Services (CMS)?
The John D Gray has been assigned the NPI (National Provider Identifier) 1639284623. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Where is the John D Gray located?
The John D Gray is located at 1881 Chicago St, Depere, WI 54115.
What is the area of specialization for John D Gray, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for John D Gray is Family Medicine, and the corresponding taxonomy code that categorizes this area of expertise is 207Q00000X.
On what date did the John D Gray receive its 1639284623 assignment from the Centers for Medicare & Medicaid Services?
The John D Gray was assigned its 1639284623 by the Centers for Medicare & Medicaid Services on 2006-08-20.
As of what date were the details related to John D Gray most recently updated or revised?
The information pertaining to John D Gray, including its address, specialty, and other relevant details, was last updated or revised on 2023-03-07.