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NPI 1760686414

NPI 1760686414 : MARGARET M. GRECO MD : MADISON, WI

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General NPI Number Information
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    NPI Number           |    1760686414
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    Entity Type          |    Individual 
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    Provider Name        |    MARGARET M. GRECO MD
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    06/14/2007
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    Last Update Date     |    01/14/2021
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Provider Practice Location Address
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    Address Line         |    600 HIGHLAND AVE H6/565
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    City                 |    MADISON
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    State                |    WI
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    Zip                  |    53792-0001
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    Country              |    US
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    Telephone            |    608-264-4657
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    Fax                  |    608-265-8065
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Provider Business Mailing Address
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    Address Line         |    7974 UW HEALTH CT 
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    City                 |    MIDDLETON
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    State                |    WI
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    Zip                  |    53562-5531
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    Country              |    US
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    Telephone            |    608-829-5485
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    Fax                  |    
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Authorized Official
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    Title or Position    |    
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    Name                 |        
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    Credential           |    
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    Telephone            |    
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    2080P0202X
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    Taxonomy Name        |    Pediatric Cardiology Physician
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    License Number       |    66059-20
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    License Number State |    WI
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Taxonomy #2
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    Taxonomy Code        |    2080P0202X
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    Taxonomy Name        |    Pediatric Cardiology Physician
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    License Number       |    036117739
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    License Number State |    IL
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