Individual
ROBERT A. GRINNELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
52 SHEBOYGAN ST, FOND DU LAC, WI 54935-4220
(920) 923-1260
(920) 923-0077
Mailing address
N6295 CREEK RD, FOND DU LAC, WI 54935-9637
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
8315
WI
Other
Enumeration date
09/25/2006
Last updated
07/08/2007
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