GREGORY G DODGE

LANGLADE HOSPITAL HOTEL DIEU OF ST JOSEPH OF ANTIGO WISCONSIN

Dr GREGORY G DODGE is a male medical professional, specializing in General Surgery. He graduated in 1990 from University Of South Dakota School Of Medicine.

Contact

LANGLADE HOSPITAL HOTEL DIEU OF ST JOSEPH OF ANTIGO WISCONSIN

110 E 5TH AVE
ANTIGO
WI
544092710

Tel: 7156232351

GREGORY G DODGE Information

Npi 1497857171
Pac Id 2062583883
Professional Enrollment Id I20080620000451
Last Name DODGE
First Name GREGORY
Middle Name G
Suffix
Gender M
Credential
Medical School Name UNIVERSITY OF SOUTH DAKOTA SCHOOL OF MEDICINE
Graduation Year 1990
Primary Specialty GENERAL SURGERY
Secondary Specialty 1
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
All Secondary Specialties
Organization Legal Name LANGLADE HOSPITAL HOTEL DIEU OF ST JOSEPH OF ANTIGO WISCONSIN
Group Practice Pac Id 1557271202
Number Of Group Practice Members 36
Line 1 Street Address 110 E 5TH AVE
Line 2 Street Address
Marker Of Address Line 2 Suppression
City ANTIGO
State WI
Zip Code 544092710
Phone Number 7156232351
Hospital Affiliation Ccn 1 521350
Hospital Affiliation Lbn 1 LANGLADE HOSPITAL
Hospital Affiliation Ccn 2
Hospital Affiliation Lbn 2
Hospital Affiliation Ccn 3
Hospital Affiliation Lbn 3
Hospital Affiliation Ccn 4
Hospital Affiliation Lbn 4
Hospital Affiliation Ccn 5
Hospital Affiliation Lbn 5
Professional Accepts Medicare Assignment Y

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