Gregory E Crovetti in Milwaukee - Sports Medicine
Gregory E Crovetti - NPI 1750311999
Gregory E Crovetti is a Sports Medicine in Milwaukee, Wisconsin. Gregory E Crovetti practices all healthcare services and medical treatments related to Sports Medicine. The NPI Number for Gregory E Crovetti is 1750311999. The last update date is 2021-12-20.
Gregory E Crovetti's current location address is 3301 W Forest Home Ave, Milwaukee, Wisconsin. You can contact this provider via phone number 4143892377. The mailing address for Gregory E Crovetti is 3301 W Forest Home Ave, Milwaukee, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Gregory E Crovetti |
|---|---|
| Address | 3301 W Forest Home Ave, Milwaukee, Wisconsin |
| Phone Number | 4143892377 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1750311999 |
|---|---|
| Provider Enumeration Date | 2006-07-04 |
| Last Updated Date | 2021-12-20 |
Provider Mailing Address Detail
| Address | 3301 W Forest Home Ave |
|---|---|
| City | Milwaukee |
| State | Wisconsin (WI) |
| Post Code | 532152843 |
| Phone Number | 4143892377 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Sports Medicine |
|---|---|
| Taxonomy | 207Rs0010X |
| Licence No | 036-096721 |
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Definition: An internist trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must have knowledge and exp |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 36096721 | IL | BLUE SHIELD-IL | |
| 100073695 | WI | -- | |
| 1619414 | IL | BCBS GROUP |
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What is the Gregory E Crovetti's unique identification number?
The Gregory E Crovetti has been assigned the NPI (National Provider Identifier) Number 1750311999 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Can you provide the Gregory E Crovetti's physical address?
The Gregory E Crovetti is physically located at 3301 W Forest Home Ave, in the city of Milwaukee, WI, with the postal code 532152843.
What is the Gregory E Crovetti's area of specialization and corresponding taxonomy classification?
The Gregory E Crovetti's specialty field is Sports Medicine, and it falls under the taxonomy code 207Rs0010X, which categorizes healthcare providers based on their specialties.
On what date did the Gregory E Crovetti receive the assignment of its 1750311999 from the Centers for Medicare & Medicaid Services?
The Gregory E Crovetti was issued its 1750311999 by the Centers for Medicare & Medicaid Services on 2006-07-04.
When was the information pertaining to Gregory E Crovetti most recently updated or revised?
The details related to Gregory E Crovetti, including its address, specialty, and other relevant information, were last updated or revised on 2021-12-20.