Search › Wisconsin › 163WP0808X
Angela Gray
NPI 1760031926 · on the registry since 2019
Practice
- Address
- 322 Dewitt St
Portage, WI 53901 - Phone
- (608) 280-2700
- Clinicians at this address
- 17
Registry record
- Primary taxonomy
- 163WP0808X
163WP0808X
- Also registered as
- 163WA0400X
- Licence states on file
- WI
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2019-09-10
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