Gruenke, Staci Marie

Gruenke, Staci Marie is an individual health care provider with primary practice located at 1160 Kepler Dr , Green Bay WI 54311-8321. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer, which is considered as her primary health care specialty. Gruenke, Staci Marie can be contacted via phone (920) 288-5482.

Contact Information

Primary practice address
1160 Kepler Dr Green Bay WI 54311-8321
Phone: (920) 288-5482
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer 2255A2300X 670-039 Wisconsin

Profile Details

NPI number 1861534232
LBN Legal business name Gruenke, Staci Marie
Credentials MS, LAT, CSCS
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 13th, 2007
Last updated Sep 1st, 2016 - about 10 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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