Search › Wisconsin › 311ZA0620X
Jimmie Grays
NPI 1750276077 · on the registry since 2025 · sole proprietor
Practice
- Address
- 2903 15th Ave
South Milwaukee, WI 53172 - Phone
- (262) 497-8448
- Fax
- (262) 681-3118
Registry record
- Primary taxonomy
- 311ZA0620X
311ZA0620X
- Also registered as
- 311Z00000X
- Licence states on file
- WI
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2025-06-09
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Wisconsin