Individual
EDWARD J GRABIEC
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
420 3RD ST S, WISCONSIN RAPIDS, WI 54494-4350
(715) 424-3553
Mailing address
2720 RUSSET DR, PLOVER, WI 54467-2539
(715) 344-6052
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
5904-015
WI
Other
Enumeration date
04/24/2007
Last updated
07/08/2007
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