GREGORY M GREWE MD NPI 1306871769

NPI Information

  • NPI: 1306871769
  • Provider Name: GREGORY M GREWE, MD
  • Classification: Radiology - 2085R0202X
  • Specialization: Diagnostic Radiology
  • Entity Type: Individual
  • Address: 1789 SHAWANO AVE
    GREEN BAY, WI
    ZIP 54303
  • Phone: (920) 499-1428

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NPI Details

Gregory M Grewe, MD is a diagnostic radiology radiology in Green Bay, WI. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. Gregory M Grewe, MD NPI is 1306871769. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1789 SHAWANO AVE
GREEN BAY, WI
ZIP 54303
Phone: (920) 499-1428
Fax: (920) 499-5808

The enumeration date for this NPI number is 7/12/2006 and was last updated on 12/5/2017.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
12085R0202XRadiologyDiagnostic Radiology30051-020WISCONSINYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
14838144MEDICAIDMICHIGAN
21018806004OTHERUNITED HEALTHCARE AMERICH
331476800MEDICAIDWISCONSIN
44838153MEDICAIDMICHIGAN
5P00287110OTHERRR MEDICARE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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