Most Relevant Information
Provider Data
| NPI Number: | 1003297581 |
| Provider Name: | GREGORY LEE WERNER P.A.-C |
| Entity Type: | Individual |
| Taxonomy Code: | 363AM0700X |
| Specialty: | Physician Assistant |
| License Number: | 3532 - 23 |
Most Important Dates
| Enumeration Date: | 06/10/2015 |
| Last Updated: | 06/10/2015 |
Provider Practice Location
143 S GIBSON ST
MEDFORD
WI
544511622
Practice Location Phone/Fax
| Phone: | 7157482121 |
| Fax: |
Provider Mailing Location
W6435 CEDAR ST
MEDFORD
WI
544518853
Provider Mailing Phone/Fax
| Phone: | 7159652181 |
| Fax: |