Search › Wisconsin › 363A00000X
Gregory Broyles, PA-C
NPI 1841223427 · on the registry since 2006
Practice
- Address
- 410 Dewey Street
Wisconsin Rapids, WI 55494 - Phone
- (414) 290-6720
- Fax
- (414) 290-6755
- Organisation at this address
- Jatra Llc
Kevin Ferreira
Richard Wessling
Marshfield Clinic
Marshfield ClinicInferred from a shared address, not stated in the registry. - Clinicians at this address
- 51
Registry record
- Primary taxonomy
- 363A00000X
363A00000X
- Also registered as
- 363A00000X
- Licence states on file
- IN, WI
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2011-03-28
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