Individual
MICHAEL GREMBAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4140 W GREENFIELD AVE, WEST MILWAUKEE, WI 53215-1334
(414) 978-2007
(414) 978-2008
Mailing address
106 WOODLARK CT, WAUKESHA, WI 53186-1257
(920) 265-4571
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
17947-40
WI
Other
Enumeration date
10/14/2020
Last updated
10/14/2020
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