Individual
DR. MICHAEL EDWARD GRADY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
1801 W WISCONSIN AVE, CPMG B, MILWAUKEE, WI 53233-2186
(414) 288-6578
(414) 288-6505
Mailing address
1616 E RIVER RD, GRAFTON, WI 53024-1210
(262) 618-4347
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
WI4652
WI
Other
Enumeration date
02/12/2007
Last updated
07/08/2007
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