Individual
KAITLIN ROSE GRIGORYEV
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
N112W15415 MEQUON RD, GERMANTOWN, WI 53022-3410
(262) 250-7800
Mailing address
400 W RIVER WOODS PKWY, GLENDALE, WI 53212-1060
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
13152
WI
Other
Enumeration date
07/14/2022
Last updated
02/15/2024
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