Grunert, Brad

Grunert, Brad is an individual health care provider with primary practice located at 9200 W Wisconsin Ave Department Of Plastic Surgery, Milwaukee WI 53226-3522. He recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as his primary health care specialty. Grunert, Brad can be contacted via phone (414) 805-5858.

Contact Information

Primary practice address
9200 W Wisconsin Ave Department Of Plastic Surgery Milwaukee WI 53226-3522
Phone: (414) 805-5858
Fax: (414) 805-5850
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X 921 Wisconsin

Profile Details

NPI number 1588615330
LBN Legal business name Grunert, Brad
Credentials PHD
Entity Individual
Sole proprietor 1 No
Enumeration date May 15th, 2006
Last updated Nov 22nd, 2013 - about 13 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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Identifiers

StateTypeNumberIssuer
All States NPI 1588615330 NPPES
Other 002000220G HUMANA
MEDICAID 1588615330 HUMANA

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