Individual
MELVIN EARL GRISBY JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
N92W17420 APPLETON AVE STE 102, MENOMONEE FALLS, WI 53051-1363
(262) 732-7008
(262) 735-7549
Mailing address
N92W17420 APPLETON AVE STE 102, MENOMONEE FALLS, WI 53051-1363
(262) 732-7008
(262) 735-7549
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
—
WI
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
06/17/2019
Last updated
06/17/2019
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