Provider Demographics
NPI:1124227681
Name:GREER, DENNIS READ (ATC)
Entity Type:Individual
Prefix:MR
First Name:DENNIS
Middle Name:READ
Last Name:GREER
Suffix:
Gender:M
Credentials:ATC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:800 W FRANKLIN ST
Mailing Address - Street 2:APT #3
Mailing Address - City:WEST SALEM
Mailing Address - State:WI
Mailing Address - Zip Code:54669-9388
Mailing Address - Country:US
Mailing Address - Phone:608-786-0995
Mailing Address - Fax:
Practice Address - Street 1:800 W FRANKLIN ST
Practice Address - Street 2:APT #3
Practice Address - City:WEST SALEM
Practice Address - State:WI
Practice Address - Zip Code:54669-9388
Practice Address - Country:US
Practice Address - Phone:608-786-0995
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-07-15
Last Update Date:2007-07-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI874-039174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist