Individual
KELLI GRUNDMANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1201 S 2ND ST, MILWAUKEE, WI 53204-2410
(414) 382-2000
Mailing address
13101 W GRAHAM ST, NEW BERLIN, WI 53151-2636
(262) 903-8963
Taxonomy
Speciality
Code
Description
License number
State
171400000X
Health & Wellness Coach
Primary
—
—
Other
Enumeration date
04/12/2023
Last updated
04/12/2023
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