Gruenwald, Lee M

Gruenwald, Lee M is an individual health care provider with primary practice located at 4065 N 35Th St , Milwaukee WI 53216-1705. He recently has only one registered license in Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry, which is considered as his primary health care specialty. Gruenwald, Lee M can be contacted via phone (414) 445-9180.

Contact Information

Primary practice address
4065 N 35Th St Milwaukee WI 53216-1705
Phone: (414) 445-9180
Fax: (414) 445-5995
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry 2084P0804X 44431 Wisconsin

Profile Details

NPI number 1437116357
LBN Legal business name Gruenwald, Lee M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 26th, 2006
Last updated Jul 10th, 2014 - about 11 years ago

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 1437116357 NPPES
Wisconsin MEDICAID 34276900

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