Individual
GRIFFIN A EWALD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
625 E SAINT PAUL AVE, MILWAUKEE, WI 53202-5907
(414) 272-9594
Mailing address
790 REMINGTON BLVD, BOLINGBROOK, IL 60440-4909
(630) 296-2223
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
9928024
WI
Other
Enumeration date
09/26/2006
Last updated
09/28/2009
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