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1346516820
GRANT G BOSCHULT
MILWAUKEE, WI
NPI
1346516820
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207R00000X Internal Medicine
(Licence: WI 61755)
Enumeration Date
2012-03-28
Last Update Date
2024-05-29
Business Address
GRANT G BOSCHULT MD
2323 N LAKE DR
MILWAUKEE, WI 53211-4508
Phone number: 414-270-4932
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Mailing Address
GRANT G BOSCHULT MD
400 W RIVER WOODS PKWY
GLENDALE, WI 53212-1060
Phone number:
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