| NPI | 1407801236 |
|---|---|
| Doing Business As | DOUGLAS C GREMBAN MD |
| Entity Type | Organization |
| Authorized Contact | GREG HENN Clinic Manager 920-846-3440 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332900000X Non-Pharmacy Dispensing Site (Licence: WI 23967020) |
| Enumeration Date | 2006-05-23 |
| Last Update Date | 2008-03-12 |