Individual
MRS. SARAH ELIZABETH GRUNKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1855 S KOELLER ST, OSHKOSH, WI 54902-6186
(920) 223-2000
Mailing address
1855 S KOELLER ST, OSHKOSH, WI 54902-6186
(920) 223-2000
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
016823
NY
363A00000X
Physician Assistant
Primary
7318
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100249649
—
WI
Enumeration date
08/14/2013
Last updated
12/19/2023
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