GREGORY HEISE

MILWAUKEE, WI
NPI1346679040
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363L00000X Nurse Practitioner
(Licence: WI  5513-33)
Enumeration Date2013-11-04
Last Update Date2023-10-09
Business Address
GREGORY HEISE
2801 W KINNICKINNIC RIVER PKWY STE 575
MILWAUKEE, WI 53215-5200
Phone number: 414-649-3240
Mailing Address
GREGORY HEISE
PO BOX 735044
CHICAGO, IL 60673-5044
Phone number: