Individual
ANN L GRUNWALD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
304 S JACKSON ST, PRAIRIE DU CHIEN, WI 53821-1821
(608) 326-5459
Mailing address
304 S JACKSON ST, PRAIRIE DU CHIEN, WI 53821-1821
(608) 326-5459
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
23379
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30483300
—
WI
Enumeration date
06/20/2005
Last updated
04/08/2008
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