Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Gregory Harley, PA

Individual provider Physician Assistant · NPI 1619962644

Gregory Harley, PA is a Physician Assistant in Wild Rose, Wisconsin. Licensed in Wisconsin. Registered with an NPI since 2005.

Licensed in
WI
In the registry since
2005
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

See every abbreviation used in this directory →

Practice location Address checks out

701 Grove Ave
Wild Rose, WI 54984-6901
Phone: (920) 622-5560
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 585-023 (WI)

Record details

NPI number1619962644
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorNo
NPI enumeratedSeptember 15, 2005
Last updated in NPPESApril 29, 2014

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