Doctor Name: | JOHN JOSEPH GRAYKOSKI |
NPI Number: | 1740234772 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | PA |
License Number: | 1944023 |
Business Practice Address: | 1222 E Woodland Ave Barron, WI - 548121765 |
Business Phone Number: | 7155373166 |
Business Fax Number: | |
Mailing Address: | 1222 E Woodland Ave, BARRON |
State: | WI |
Postal Code: | 548121765 |
Phone Number: | 7155373166 |
Fax Number: | |
NPI Enumeration Date: | 05/22/2006 |
NPI Last Update Date: | 08/04/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 207PE0004X |
License Number: | 1944023 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | WI |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Emergency Medicine |
Taxonomy Specialization: | Emergency Medical Services |
Taxonomy Definition: | An emergency medicine physician who specializes in non-hospital based emergency medical services (e.g., disaster site, accident scene, transport vehicle, etc.) to provide pre-hospital assessment, treatment, and transport patients. |