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Contact Information

GREGORY BARCZAK, DPM
W180N7950 TOWN HALL RD
MENOMONEE FALLS, WI53051-4049
 Phone: 252-255-2500
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Podiatrist

213E00000X 48 Podiatry
Indicates primary specialty

NPI Profile & details for GREGORY BARCZAK · (Male)

NPI # 1235101478
Status Active
Credentials DPM (Doctor of Podiatric Medicine)
Entity Individual
Enumeration date 02/02/2006
Last updated 11/16/2012 - About 14 years ago
Sole proprietor 1 No
Identifiers
  • WI License # 635
  • WI Medicaid 43214900
Hospital affiliation(s)
  • COMMUNITY MEMORIAL HSPTL - (Acute Care)
    W180 N8085 TOWN HALL RD
    MENOMONEE FALLS, WI 53051
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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