Individual
NATHAN D GRUNEWALD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
260 26TH ST, PRAIRIE DU SAC, WI 53578-2203
(608) 643-3311
Mailing address
260 26TH ST, PRAIRIE DU SAC, WI 53578-2203
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
57602-20
WI
Other
Enumeration date
03/28/2011
Last updated
03/24/2021
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