Individual
DR. CHARLES M GRADE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
7845 HARWOOD AVE, WAUWATOSA, WI 53213-2523
(414) 270-1011
(414) 270-1031
Mailing address
7845 HARWOOD AVE, WAUWATOSA, WI 53213-2523
(414) 270-1011
(414) 270-1031
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
32662
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
31874500
—
WI
Enumeration date
08/20/2006
Last updated
06/02/2025
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