Individual
DR. GARY J GRUNOW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
104 HIGH ST, MINERAL POINT, WI 53565-1289
(608) 987-2346
(608) 987-2390
Mailing address
104 HIGH ST, MINERAL POINT, WI 53565-1289
(608) 987-2346
(608) 987-2390
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
35674
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
32065100
—
WI
Enumeration date
09/16/2005
Last updated
07/08/2007
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