Individual
DR. ROBERT R. GRINDELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
201 N MAYFAIR RD, WAUWATOSA, WI 53226-4216
(414) 771-8228
Mailing address
201 N MAYFAIR RD, WAUWATOSA, WI 53226-4216
(414) 771-8228
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
60633
WI
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/04/2011
Last updated
10/14/2014
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