Individual
DR. JOHN T. GRUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
945 N 12TH ST, SUITE 3858, MILWAUKEE, WI 53233-1305
(414) 219-2000
Mailing address
945 N 12TH ST, SUITE 3858, MILWAUKEE, WI 53233-1305
(414) 219-2000
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
21699-020
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
31466900
—
WI
Enumeration date
07/11/2006
Last updated
01/11/2013
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