Individual
BRADY GRUETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1475 ENGINEERING DR, MADISON, WI 53706-1607
(608) 264-8065
Mailing address
W4697 ERTL RD, MENASHA, WI 54952-9791
(920) 284-7040
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
05/07/2019
Last updated
05/07/2019
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