Individual
DAVID GRANDINETTI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
829 E GREEN BAY AVE, SAUKVILLE, WI 53080-2618
(262) 268-9091
Mailing address
829 E GREEN BAY AVE, SAUKVILLE, WI 53080-2618
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
18046-40
WI
Other
Enumeration date
07/31/2015
Last updated
07/31/2015
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