GRADY M TWOHIG

FOND DU LAC, WI
NPI1518944529
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: WI  5872015)
Enumeration Date2005-12-30
Last Update Date2015-01-21
Business Address
-- GRADY M TWOHIG DDS
211 S NATIONAL AVE
FOND DU LAC, WI 54935-5359
Phone number: 920-921-8565
Mailing Address
-- GRADY M TWOHIG DDS
211 S NATIONAL AVE
FOND DU LAC, WI 54935-5359
Phone number: 920-921-8565