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
Mailing address701 Grove Ave, Wild Rose, WI 54984-6901

Other providers in Wild Rose