Individual
MR. JEFFREY ALAN GRUSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
141 SIEGLER ST, GREEN BAY, WI 54303-2635
(920) 497-3126
(920) 497-3176
Mailing address
141 SIEGLER ST, GREEN BAY, WI 54303-2635
(920) 497-3126
(920) 497-3176
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
81257-030
WI
Other
Enumeration date
08/05/2007
Last updated
08/05/2007
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