Dr Alex Grunenwald, DO | |
310 W Main St, Sparta, WI 54656-2170 | |
(608) 785-0940 | |
Not Available |
Full Name | Dr Alex Grunenwald |
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Gender | Male |
Speciality | Emergency Medicine |
Location | 310 W Main St, Sparta, Wisconsin |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1992243984 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207P00000X | Emergency Medicine | 72447 (Wisconsin) | Primary |
Entity Name | Mayo Clinic Health System-southwest Wisconsin Region Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1629056049 PECOS PAC ID: 0345152443 Enrollment ID: O20031110000684 |
Entity Name | Mayo Clinic Health System-southwest Wisconsin Region Inc |
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Entity Type | Part A Provider - Critical Access Hospital |
Entity Identifiers | NPI Number: 1841278637 PECOS PAC ID: 0345152443 Enrollment ID: O20100506000523 |
Mailing Address | Practice Location Address |
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Dr Alex Grunenwald, DO Po Box 1510, Eau Claire, WI 54702-1510 Ph: (715) 838-5222 | Dr Alex Grunenwald, DO 310 W Main St, Sparta, WI 54656-2170 Ph: (608) 785-0940 |
Emma K Ledbetter, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 310 W Main St, Sparta, WI 54656 Phone: 608-269-1770 Fax: 608-269-1017 | |
Milton R Mcmillen, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 310 W Main St, Sparta, WI 54656 Phone: 608-269-2132 |