Individual
MOLLY JOHANNA GRINDLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2000 OBSERVATORY DR # 1037, MADISON, WI 53706-1121
(608) 262-3742
Mailing address
130 N ORCHARD ST APT 3, MADISON, WI 53715-1173
(608) 235-0319
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
02/04/2020
Last updated
02/04/2020
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