Individual
COURTNEY M GRUNEWALD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
700 S PARK ST, MADISON, WI 53715-1830
(608) 251-6100
(608) 258-6975
Mailing address
700 S PARK ST, MADISON, WI 53715-1830
(608) 251-6100
(608) 258-6975
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
3393-33
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1528288065
—
WI
Enumeration date
04/26/2007
Last updated
09/09/2016
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