Individual
DR. MICHAEL A GRAJEWSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1507 DOCTORS CT, WATERTOWN, WI 53094-4101
(920) 261-4111
(920) 261-8387
Mailing address
1507 DOCTORS CT, WATERTOWN, WI 53094-4101
(920) 261-4111
(920) 261-8387
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
27213
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30650300
—
WI
Enumeration date
03/02/2006
Last updated
11/08/2011
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