Individual
MS. CHERYL A. GRANDLICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
N.P.
Contact information
Practice address
9200 W WISCONSIN AVE, TRAUMA AND CRITICAL CARE SURGERY, MILWAUKEE, WI 53226-3522
(414) 805-8642
(414) 805-8641
Mailing address
9200 W WISCONSIN AVE, TRAUMA AND CRITICAL CARE SURGERY, MILWAUKEE, WI 53226-3522
(414) 805-8642
(414) 805-8641
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
86036
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1629184924
—
WI
Enumeration date
08/21/2006
Last updated
10/18/2012
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