Individual
DR. RICHARD J. GRZYBOWSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
11711 WEST BURLEIGH STREET, WAUWATOSA, WI 53222
(414) 771-2345
Mailing address
3725 STONEBROOK COURT, BROOKFIELD, WI 53005
(262) 790-1974
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
3572
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
33481400
—
WI
Enumeration date
09/05/2006
Last updated
07/08/2007
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