Individual
LEE M GRUENWALD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4065 N 35TH ST, MILWAUKEE, WI 53216-1705
(414) 445-9180
(414) 445-5995
Mailing address
4065 N 35TH ST, MILWAUKEE, WI 53216-1705
(414) 445-9180
(414) 445-5995
Taxonomy
Speciality
Code
Description
License number
State
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
44431
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
34276900
—
WI
Enumeration date
04/26/2006
Last updated
07/10/2014
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