Individual
MEREDITH GRELLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
700 3RD ST N STE LL7A, LA CROSSE, WI 54601-9303
(608) 394-4090
Mailing address
2315 SANDSIDE CT, ONALASKA, WI 54650-9377
(856) 296-8164
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0010-00256
NC
Other
Enumeration date
08/07/2023
Last updated
08/07/2023
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