Individual
NATHAN C GRUNWALD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2005 MIDWAY RD, MENASHA, WI 54952-7002
(920) 832-8500
Mailing address
PO BOX 8003, APPLETON, WI 54912-8003
(920) 996-3298
(920) 738-5787
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
47609-020
WI
Other
Enumeration date
06/23/2006
Last updated
03/13/2012
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