Individual
NICOLE GRONSTAL
Active
Sole proprietor
Provider details
NPI number
Gender
F
Contact information
Practice address
6509 UNIVERSITY AVE, 116, MIDDLETON, WI 53562-3460
(608) 833-4384
Mailing address
6509 UNIVERSITY AVENUE #116, MIDDLETON, WI 53562
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
—
WI
Other
Enumeration date
04/11/2006
Last updated
07/08/2007
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