IndividualActive
Gregory Burgess, PA-C
NPI 1932458932 · Surgical Physician Assistant · Mauston, WI
Provider details
- NPI number
- 1932458932
- Entity type
- Individual
- Primary specialty
- Surgical Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA-C
- Sex
- Male
- Sole proprietor
- No
- License
- 3023-23 (WI)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Physician Assistants & Advanced Practice Nursing Providers
Practice location
1040 Division St
Mauston, WI 53948-1931
Phone: (608) 847-5000
Fax: (608) 847-9875
Approximate (ZIP-level) locationGet directions
Mailing address
1040 Division St
Mauston, WI 53948-1931
Registry dates
- Enumerated
- 2012-09-05
- Last updated
- 2019-01-24
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.