Gramblicka, Mark M.

Gramblicka, Mark M. is an individual health care provider with primary practice located at 2000 E. Layton Ave , St Francis WI 53235-6053. He recently has 2 registered licenses in different health care specialties including Chiropractic Providers / Rehabilitation, Chiropractic Providers / Chiropractor. Chiropractic Providers / Chiropractor is his primary health care specialty. Gramblicka, Mark M. can be contacted via phone (414) 744-6589.

Contact Information

Primary practice address
2000 E. Layton Ave St Francis WI 53235-6053
Phone: (414) 744-6589
Fax: (414) 747-8848
Website:
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Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Rehabilitation 111NR0400X 038009183 Illinois
Chiropractic Providers / Chiropractor 111N00000X 4333 Wisconsin

Profile Details

NPI number 1093896698
LBN Legal business name Gramblicka, Mark M.
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 18th, 2006
Last updated Jan 26th, 2023 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1093896698 NPPES
Wisconsin MEDICAID 100004678

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