DR. KURT GRELCK (NPI# 1619203858) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619203858 |
| Entity Type | Individual |
| Full Name | DR. KURT GRELCK |
| Credential | D.O. |
| Practice Address |
5501a Vern Holmes Dr Stevens Point WI 54482-9791 |
| Mailing Address |
801 York St Manitowoc WI 54220-4630 |
| Practice Telephone | 7158495333 |
| Practice Fax Number | 7158494083 |
| Mailing Telephone | 9206835278 |
| Mailing Fax Number | 9206639009 |
| Enumeration Date | 2009-10-22 |
| Last Update Date | 2019-10-30 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207N00000X | Dermatology | 56822-021 | WI | Allopathic & Osteopathic Physicians |
| N | 207R00000X | Internal Medicine | OS10384 | FL | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 900 E Division St, Wautoma, WI 549826944 | 9207870837 | 9207876903 |
| 900 Riverside Dr Ste 5, Waupaca, WI 549811983 | 7152583041 | 7152583116 |
| 420 Dewey St Ste 1, Wisconsin Rapids, WI 544944714 | 7154214500 | 7154214509 |
| W7713 Johnson Ct, Wautoma, WI 549825274 | 9208951004 | 9208951005 |
| Street Address |
5501A VERN HOLMES DR |
| City | STEVENS POINT |
| State | WI |
| Zip Code | 54482-9791 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265581011 | Heidi L Korb | Nurse Practitioner | 5501a Vern Holmes Dr, Stevens Point, WI 54482-9791 | 2007-01-10 |
| 1225522733 | Bridget Kilbride | Physician Assistant | 5501a Vern Holmes Dr, Stevens Point, WI 54482 | 2018-06-18 |
| 1073037164 | Breanne Leigh Ceranske | Physician Assistant | 5501a Vern Holmes Dr, Stevens Point, WI 54482-9791 | 2017-07-31 |
| 1053679290 | Forefront Dermatology, S.c. | Dermatology | 5501a Vern Holmes Dr, Stevens Point, WI 54482 | 2012-04-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568902880 | Aspirus Stevens Point Clinic | Clinic/Center | 5409 Vern Holmes Drive, Stevens Point, WI 54482 | 2017-03-06 |
| 1861810194 | Anna Marie Syke | Counselor | 5541 Highway 10 East, Suite B, Stevens Point, WI 54482 | 2014-04-03 |
| 1730436411 | Point Family Chiropractic LLC | Chiropractor | 5720 Windy Dr Ste C, Stevens Point, WI 54482 | 2012-08-13 |
| 1225342504 | Victor Cronce | Emergency Medical Technician, Paramedic | 5139 Hwy 66, Stevens Point, WI 54482 | 2010-07-29 |
| 1144714650 | Ashley Rae Wenninger | Physician Assistant | 5412 Us Highway 10 E, Stevens Point, WI 54482 | 2018-06-18 |
| 1972949501 | Chad Joseph Giles | Family Medicine | 4100 State Highway 66, Stevens Point, WI 54482 | 2013-05-22 |
| 1073824470 | Sumeet Kumar Goel | Family Medicine | 4100 State Highway 66, Stevens Point, WI 54482 | 2010-06-30 |
| 1578882130 | Lori K. Steiner | Podiatrist | 4100 State Highway 66, Stevens Point, WI 54482 | 2010-05-21 |
| 1295066082 | Cristin E. Newkirk-thompson | Family Medicine | 4100 State Hwy 66, Stevens Point, WI 54482 | 2010-01-19 |
| 1841292638 | Valerie J Hay | Pediatrics | 4100 State Highway 66, Marshfield Clinic Stevens Point Center - Pediatrics, Stevens Point, WI 54482-0396 | 2005-08-11 |
| Find all providers in zip 54482 | ||||
| Taxonomy Code | 207N00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Dermatology |
| A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Dermatology, 2007. http://www.abderm.org/ Board certification is provided by the American Board of Dermatology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558320465 | Nyles Richard Eskritt | Dermatology | 3508 E Maria Dr, Stevens Point, WI 54481-1334 | 2006-03-20 |
| 1104088202 | Patrick Safo | Dermatology | 824 Illinois Ave, Stevens Point, WI 54481-3112 | 2008-06-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174016596 | Dermatology and Cosmetic Physicians, Sc | Dermatology | W5192 Rienzi Rd, Fond Du Lac, WI 54935-9603 | 2018-06-11 |
| 1194248013 | Kyle Erick Rudningen | Dermatology | Uw Hosptials & Clinics 600 Highland Ave, Madison, WI 53792 | 2017-07-23 |
| 1194255521 | Rhonda Ganansky | Dermatology | W1383 N Bloomfield Rd, Lake Geneva, WI 53147-4429 | 2017-06-18 |
| 1356891402 | Forefront Dermatology, S.c. | Dermatology | 1515 S Green Bay Rd, Racine, WI 53406 | 2016-10-12 |
| 1982066239 | Margaret Coleman Maxi | Dermatology | 188 Rockwood Ln Ste A, Neenah, WI 54956-1983 | 2016-03-25 |
| 1447612312 | Andrew C Duncanson | Dermatology | 510 N 17th Ave Ste C, Wausau, WI 54401-4281 | 2016-03-22 |
| 1225411481 | Gabriela A Maloney | Dermatology | 17100 W North Ave Ste 200, Brookfield, WI 53005-4489 | 2015-07-07 |
| 1043604424 | Marthe Ngongang Dika | Dermatology | 10500 W Loomis Rd Ste 110, Franklin, WI 53132-8030 | 2015-03-24 |
| 1902205206 | Affiliated Dermatologists | Dermatology | N96w17035 Division Rd, Suite A, Germantown, WI 53022-6419 | 2014-08-22 |
| 1568882793 | Kassandra E Holzem | Dermatology | 195 Discovery Dr, Brookfield, WI 53045 | 2014-04-28 |
| Find all providers with the same taxonomy | ||||
| City | STEVENS POINT |
| Zip Code | 54482 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.