Individual
KAY A GRULING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD FAAFP
Contact information
Practice address
620 COUNTY ROAD O, WAUSAU, WI 54401-9091
(715) 845-1487
Mailing address
620 COUNTY ROAD O, WAUSAU, WI 54401-9091
(715) 845-1487
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
30399
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
31563500
—
WI
Enumeration date
08/30/2006
Last updated
04/05/2013
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