Individual
MR. EZRA GRUSZYNSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
710 MAIN AVE, CRIVITZ, WI 54114-1664
(715) 854-7425
(715) 854-7326
Mailing address
710 MAIN AVE, CRIVITZ, WI 54114-1664
(715) 854-7425
(715) 854-7326
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
13458-040
WI
Other
Enumeration date
02/13/2013
Last updated
02/13/2013
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