Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207SG0201X | Clinical Genetics (M.D.) | 45021 | WI |
NPI | 1285699363 |
---|---|
Provider Name | Gregory M Rice |
First Address | Middleton, WI 53562-1056 |
Second Address | Middleton, WI 53562-1056 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 20/04/2006 |
Last Update Date | 07/01/2022 |