Individual
RICHARD GRUNKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1704 N ERB ST, APPLETON, WI 54911-3530
(914) 275-1800
Mailing address
1704 N ERB ST, APPLETON, WI 54911-3530
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
1103923
WI
Other
Enumeration date
10/25/2024
Last updated
10/25/2024
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