GREG A. LIETZ

HARTFORD, WI
NPI1548345762
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: WI  2066)
Enumeration Date2006-10-26
Last Update Date2023-11-13
Business Address
GREG A. LIETZ PA
1640 E SUMNER ST
HARTFORD, WI 53027-2684
Phone number: 262-670-4000
Mailing Address
GREG A. LIETZ PA
PO BOX 735044
CHICAGO, IL 60673-5044
Phone number:
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