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Individual

MS. LENORE MARIE GROSINSKE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
R.N.

Contact information

Practice address
1103 S 57TH ST, WAUSAU, WI 54403-8961
(715) 848-5112
Mailing address
1103 S 57TH ST, WAUSAU, WI 54403-8961
(715) 848-5112

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
145165
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
38323800
WI
Enumeration date
01/12/2009
Last updated
01/12/2009
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