Individual
DR. JENNIFER QUICK GRIEVE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
725 AMERICAN AVE, SUITE 5, WAUKESHA, WI 53188-5031
(262) 928-2475
Mailing address
725 AMERICAN AVE STE 5, WAUKESHA, WI 53188-5031
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
01073139A
IN
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
20101630
—
IN
05
—
201101630
—
IN
Enumeration date
05/20/2012
Last updated
06/23/2022
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