Gravel, Joseph W

Gravel, Joseph W is an individual health care provider with primary practice located at 2400 W Villard Ave , Milwaukee WI 53209-4901. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Gravel, Joseph W can be contacted via phone (414) 527-8348.

Contact Information

Primary practice address
2400 W Villard Ave Milwaukee WI 53209-4901
Phone: (414) 527-8348
Fax: (414) 527-8046
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 72010-20 Wisconsin
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 70283 Massachusetts

Profile Details

NPI number 1205824786
LBN Legal business name Gravel, Joseph W
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 10th, 2005
Last updated Jul 3rd, 2024 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1205824786 NPPES
Wisconsin MEDICAID 100095314

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