Individual
LEAH JEAN BLOECHL-GRUNA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
3400 MINISTRY PKWY, WESTON, WI 54476-5220
(715) 393-1000
Mailing address
1000 N OAK AVE, MARSHFIELD, WI 54449-5702
(715) 387-5511
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
14203
WI
363LG0600X
Gerontology Nurse Practitioner
Primary
14203
WI
Other
Enumeration date
08/10/2023
Last updated
05/22/2025
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