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NPI Code Detail

MEDICARE: MR. DENNIS READ GREER ATC

MEDICARE: MR. DENNIS READ GREER ATC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1174400000XSpecialist874-039WI

General Provider Information

NPI Number : 1124227681
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. DENNIS READ GREER ATC
Provider Business Mailing Address
First Line : 800 W FRANKLIN ST
Second Line : APT #3
City : WEST SALEM
State : WI
Zip : 54669-9388
Country : US
Telephone Number : 608-786-0995
Fax Number :
Provider Business Practice Location Address
First Line : 800 W FRANKLIN ST
Second Line : APT #3
City : WEST SALEM
State : WI
Zip : 54669-9388
Country : US
Telephone Number : 608-786-0995
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/15/2007
Last Update Date : 07/15/2007

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