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1831367564
KONRAD WALDEMAR DE GRANDVILLE
MILWAUKEE, WI
NPI
1831367564
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: WI 313994)
Enumeration Date
2008-02-15
Last Update Date
2023-02-02
Business Address
KONRAD WALDEMAR DE GRANDVILLE MD
2900 W OKLAHOMA AVE
MILWAUKEE, WI 53215
Phone number: 414-649-6732
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Mailing Address
KONRAD WALDEMAR DE GRANDVILLE MD
2900 W OKLAHOMA AVE AURORA ST LUKES FAMILY MEDICINE RESIDENCY
MILWAUKEE, WI 53215
Phone number:
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