Dr John D Gray, MD | |
1881 Chicago St, Depere, WI 54115 | |
(920) 403-8000 | |
(920) 403-8202 |
Full Name | Dr John D Gray |
---|---|
Gender | Male |
Speciality | Family Medicine |
Location | 1881 Chicago St, Depere, Wisconsin |
Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1639284623 | NPI | - | NPPES |
30419400 | Medicaid | WI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 27644 (Wisconsin) | Primary |
Mailing Address | Practice Location Address |
---|---|
Dr John D Gray, MD 3301 W Forest Home Ave, Milwaukee, WI 53215-2843 Ph: (414) 647-6326 | Dr John D Gray, MD 1881 Chicago St, Depere, WI 54115 Ph: (920) 403-8000 |
Dr. Lawrence E Colassacco, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1881 Chicago St, Depere, WI 54115 Phone: 920-403-8000 Fax: 920-403-8202 | |
Dr. Ronald A Barnes, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1881 Chicago St, Depere, WI 54115 Phone: 920-403-8000 Fax: 920-403-8201 |