Individual
KIMBERLY K GREUNKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
515 S MIDVALE BLVD APT 232, MADISON, WI 53711-1470
(920) 419-6461
Mailing address
515 S MIDVALE BLVD APT 232, MADISON, WI 53711-1470
(920) 419-6461
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
16441130
WI
Other
Enumeration date
12/07/2011
Last updated
04/23/2021
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