OrganizationActive
Gmg-13 LLC
NPI 1013609213 · Medical Specialty Clinic/Center · Milwaukee, WI
Provider details
- NPI number
- 1013609213
- Entity type
- Organization
- Primary specialty
- Medical Specialty Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Gregg Gaylord, President(920) 946-2505
Specialties & taxonomies
Ambulatory Health Care Facilities
Practice location
1707 N Prospect Ave Unit 12a
Milwaukee, WI 53202-1912
Phone: (920) 946-2505
Approximate (ZIP-level) locationGet directions
Mailing address
1707 N Prospect Ave Unit 12a
Milwaukee, WI 53202-1912
Registry dates
- Enumerated
- 2023-05-24
- Last updated
- 2023-05-24
- Certified
- 2023-05-24
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.