Great River Community Medical Clinic Sc
NPI #1659539203 in Prairie Du Chien, Wisconsin
Provider Information
- NPI Number
- 1659539203
- Entity Type
- Organization
- Organization Name
- Great River Community Medical Clinic Sc
- Primary Specialty
- Family Medicine
- Enumeration Date
- May 30, 2008
- Last Updated
- Oct 6, 2008
Practice Location
- Address
- 100 N MARQUETTE RD
- Address 2
- SUITE 106
- City
- Prairie Du Chien
- State
- Wisconsin
- ZIP Code
- 53821
- Phone
- (608) 326-1072
Authorized Official
- Name
- MARK A GRUNWALD, MD
- Title
- PRESIDENT
- Phone
- (608) 326-5459
Specialties & Taxonomy Codes
| Specialty |
|---|
| Family Medicine |
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