Individual
MARY GRUNSKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
130 WALTON AVE, WAUKESHA, WI 53186-5904
(262) 979-2120
Mailing address
130 WALTON AVE, WAUKESHA, WI 53186-5904
(262) 979-2120
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
151115
WI
Other
Enumeration date
07/30/2026
Last updated
07/30/2026
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