Individual
GRETTA C. GRUBE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APNP
Contact information
Practice address
2700 W 9TH AVE, OSHKOSH, WI 54904-7247
(920) 236-1750
Mailing address
2339 HAMILTON ST, OSHKOSH, WI 54901-1712
(414) 852-1617
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
5971-33
WI
Other
Enumeration date
09/03/2014
Last updated
09/13/2019
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