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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

GREGORY HARLEY, PA

Active

GREGORY HARLEY, PA is a Physician Assistant healthcare provider located in WILD ROSE, Wisconsin. NPI 1619962644 is currently active in the NPPES registry. Verify at CMS.

Physician Assistant · WILD ROSE, WI

Registration Details

NPI Number
1619962644
Provider Type
Individual
Gender
Male
NPI Issued
Sep 15, 2005 (20.89859254534 yrs)
Last Updated
Apr 29, 2014
License
585-023 (WI)

Practice Information

Address
701 GROVE AVE
WILD ROSE, WI, 549846901
Browse WI providers · Browse ZIP 54984
Phone
9206225560
Primary Specialty
Physician Assistant
363A00000X

Other Physician Assistant Providers in WILD ROSE, WI

Name Credential NPI
VICTORIA ROBYN LOIS PA-C 1639664642
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.