Individual
JEFFREY C GRZELKA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
252 MCHENRY ST, BURLINGTON, WI 53105-1828
(262) 767-6000
Mailing address
PO BOX 735044, CHICAGO, IL 60673-5044
(800) 326-2250
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
75435
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100174404
—
WI
Enumeration date
03/08/2017
Last updated
07/12/2024
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