Mr William C Grall, LPN is a
Licensed Practical Nurse based in Dousman, Wisconsin. Mr William C Grall is licensed to practice in Wisconsin (license number 14370031) and his current practice location is
231 Ridgeway Dr, Dousman, Wisconsin. He can be reached at his office (for appointments etc.) via phone at
(262) 719-7408.
NPI number for Mr William C Grall is 1609187442 and his current mailing address is 231 Ridgeway Dr, Dousman, Wisconsin. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1609187442.
Provider's Profile
| Full Name | Mr William C Grall |
|---|
| Gender | Male |
|---|
| Speciality | Licensed Practical Nurse |
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| Location | 231 Ridgeway Dr, Dousman, Wisconsin |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1609187442
- Provider Enumeration Date: 06/26/2010
- Last Update Date: 06/26/2010
Medical Identifiers
Medical identifiers for Mr William C Grall such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1609187442 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 164W00000X | Licensed Practical Nurse | 14370031 (Wisconsin) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mr William C Grall is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Mr William C Grall, LPN
231 Ridgeway Dr,
Dousman, WI 53118-9346
Ph: (262) 719-7408 | Mr William C Grall, LPN
231 Ridgeway Dr,
Dousman, WI 53118-9346
Ph: (262) 719-7408 |
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