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1548345762
GREG A. LIETZ
HARTFORD, WI
NPI
1548345762
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: WI 2066)
Enumeration Date
2006-10-26
Last Update Date
2023-11-13
Business Address
GREG A. LIETZ PA
1640 E SUMNER ST
HARTFORD, WI 53027-2684
Phone number: 262-670-4000
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Mailing Address
GREG A. LIETZ PA
PO BOX 735044
CHICAGO, IL 60673-5044
Phone number:
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