Individual
MR. WILLIAM C GRALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPN
Contact information
Practice address
231 RIDGEWAY DR, DOUSMAN, WI 53118-9346
(262) 719-7408
Mailing address
231 RIDGEWAY DR, DOUSMAN, WI 53118-9346
(262) 719-7408
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
14370031
WI
Other
Enumeration date
06/26/2010
Last updated
06/26/2010
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