Individual
HEATHER GRUSZYNSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
160 S CHET KRAUSE DR, IOLA, WI 54945-9114
(715) 445-2228
(715) 445-4442
Mailing address
710 RIVERSIDE DR, WAUPACA, WI 54981-1941
(715) 256-3062
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
2361-033
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
41251300
—
WI
01
—
P00350244
RAILROAD MEDICARE
WI
Enumeration date
07/20/2006
Last updated
03/12/2008
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