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Individual

MRS. PENNY LUE GRUETTNER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
R.D.

Contact information

Practice address
2323 N LAKE DR, MILWAUKEE, WI 53211-4508
(414) 291-1431
Mailing address
10613 N WOOD CREST DR, MEQUON, WI 53092-6417
(262) 240-0217

Taxonomy

Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary

Other

Enumeration date
03/24/2007
Last updated
07/08/2007
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