Greg A. Lietz, PA

NPI #1548345762 in Hartford, Wisconsin

Provider Information

NPI Number
1548345762
Entity Type
Individual
Name
Greg A. Lietz, PA
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Physician Assistant
Credential
PA
Enumeration Date
Oct 26, 2006
Last Updated
Nov 13, 2023

Practice Location

Address
1640 E SUMNER ST
ZIP Code
53027-2684
Phone
(262) 670-4000

Specialties & Taxonomy Codes

Specialty
Physician Assistant

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