Individual
MS. BARBARA RUTH GRANSTROM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BSN
Contact information
Practice address
1407 SAINT ANDREW ST, LA CROSSE, WI 54603-3301
(608) 785-6266
Mailing address
417 S COURT ST, SPARTA, WI 54656-1718
(608) 269-4847
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
76752-30
WI
Other
Enumeration date
05/23/2013
Last updated
05/23/2013
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