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Contact Information

GREGG M GAYLORD, MD
805 N MAYFAIR RD
WAUWATOSA, WI53226-4241
 Phone: 414-988-6773
 Fax: 414-301-7253
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Vascular & Interventional Radiology

2085R0204X 94 Physician/Interventional Radiology
 

Diagnostic Radiology

2085R0202X 30 Physician/Diagnostic Radiology
Indicates primary specialty

NPI Profile & details for GREGG M GAYLORD · (Male)

NPI # 1396890372
Status Active
Credentials MD
Entity Individual
Enumeration date 01/23/2007
Last updated 02/06/2017 - About 9 years ago
Sole proprietor 1 Yes
Identifiers
  • WI License # 38440
  • WI Medicaid 32301700
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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