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1356332753
BRENDA J GRASS
FOND DU LAC, WI
NPI
1356332753
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207RA0000X Internal Medicine, Adolescent Medicine
(Licence: WI 43233)
Enumeration Date
2005-11-03
Last Update Date
2020-12-10
Business Address
BRENDA J GRASS MD
420 E DIVISION ST
FOND DU LAC, WI 54935-4560
Phone number: 920-926-8615
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Mailing Address
BRENDA J GRASS MD
420 E DIVISION ST
FOND DU LAC, WI 54935-4560
Phone number: 920-926-8340
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