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1649974593
GRANT BALES
MILWAUKEE, WI
NPI
1649974593
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2023-03-27
Last Update Date
2023-04-11
Business Address
GRANT BALES MD
8701 WATERTOWN PLANK RD
MILWAUKEE, WI 53226-3548
Phone number: 414-955-4575
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Mailing Address
GRANT BALES MD
8701 WATERTOWN PLANK RD
MILWAUKEE, WI 53226-3548
Phone number: 414-955-4575
Copy
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