Organization
GREAT RIVER COMMUNITY MEDICAL CENTER, SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARK GRUNWALD MD (OWNER)
(608) 326-5459
Entity
Organization
Contact information
Practice address
100 N MARQUETTE RD, STE. 106, PRAIRIE DU CHIEN, WI 53821-1513
(608) 326-5459
Mailing address
100 N MARQUETTE RD, STE. 106, PRAIRIE DU CHIEN, WI 53821-1513
(608) 326-5459
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
04/16/2008
Last updated
04/16/2008
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