NPI 1396890372

Gregg Michael Gaylord, MD

Practitioner Vascular & Interventional Radiology Physician Wauwatosa, WI

Practice location

Address: 805 N Mayfair Rd, Wauwatosa, WI 53226-4241
Phone: (414) 988-6773
Fax: (414) 301-7253

Registered specialties (2)

Vascular & Interventional Radiology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 2085R0204X Licence 38440 (WI)

Other Radiology providers in Wisconsin →

Diagnostic Radiology Physician

Allopathic & Osteopathic Physicians Taxonomy 2085R0202X Licence 38440 (WI)

Registry record

NPI: 1396890372
Entity type: Individual
Sex (as registered): Male
NPI issued: 23 Jan 2007
Record last updated: 6 Feb 2017

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.