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Organization
GREAT RIVER COMMUNITY MEDICAL CENTER, SC
Active
Organization
GREAT RIVER COMMUNITY MEDICAL CENTER, SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARK GRUNWALD MD (OWNER)
(608) 326-5459
Entity
Organization
Contact information
Practice address
100 N MARQUETTE RD, STE. 106, PRAIRIE DU CHIEN, WI 53821-1513
(608) 326-5459
Mailing address
100 N MARQUETTE RD, STE. 106, PRAIRIE DU CHIEN, WI 53821-1513
(608) 326-5459
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
04/16/2008
Last updated
04/16/2008
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