Individual
MRS. TERRI LYNN GRUN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
2524 OAK VIEW RD, MARINETTE, WI 54143-4067
(715) 732-1526
Mailing address
2524 OAK VIEW RD, MARINETTE, WI 54143-4067
(715) 732-1526
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
304732-31
WI
Other
Enumeration date
10/04/2012
Last updated
10/04/2012
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