Douglas C Gremban Md is not a DME supplier for medicare equipments and products.
Douglas C Gremban Md is a Non-pharmacy Dispensing Site in Mountain, Wisconsin. This pharmacy is owned and operated by Cmh Mountain Primary Care Clinic. It is located at 13435 Weller Rd, Mountain and it's customer support contact number is 715-276-1600. The authorized person of Douglas C Gremban Md is Greg Henn who is Clinic Manager of the pharmacy and his contact number is 920-846-3440. Active license number of Douglas C Gremban Md is 23967020 for Non-pharmacy Dispensing Site in Wisconsin. Douglas C Gremban Md is a site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.)
Pharmacy Details:
Douglas C Gremban Md type, location, contact phone number and fax are as below. Patients can directly walkin to the pharmacy or can call on the below given customer support phone number for enquiries.
Name:
Douglas C Gremban Md
Type:
Non-pharmacy Dispensing Site
Location:
13435 Weller Rd, Mountain, Wisconsin, 54149-9482
Phone:
715-276-1600
Fax:
715-276-1800
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints of this pharmacy is as below. Person's position and contact details are also mentioned below.
Name:
Greg Henn
Position:
Clinic Manager
Contact Number:
920-846-3440
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details of given pharmacy are as mentioned below.
NPI Number:
1407801236
NPI Enumeration Date:
23 May, 2006
NPI Last Update On:
12 Mar, 2008
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Douglas C Gremban Md are as mentioned below.
Specialization
License Number
State
Status
Non-pharmacy Dispensing Site
23967020
Wisconsin
Primary
Other Medical Identifiers:
Other legacy medical identifiers of the pharmacy such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
31756500
Medicaid
Wisconsin
5128904
Other
Other Id Number-commercial Number
5128904
Other
Other Id Number
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
855 S Main St, Oconto Falls, Wisconsin
Zip:
54154-1241
Phone Number:
--
Fax Number:
--
Patients can reach Douglas C Gremban Md at 13435 Weller Rd, Mountain, Wisconsin or can call on customer care at 715-276-1600.
Comments/ Reviews:
*Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 September, 2024.