Michael Edward Grady D.D.S.

NPI 1437291267 - Dentist - 1223G0001X

NPI Details
NPI 1437291267
Gender Male
Enumeration Date 02/12/2007
Last Updated 07/08/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
1801 W WISCONSIN AVE
CPMG B
MILWAUKEE WI, 53233-2186, US
Phone (414) 288-6578
Fax (414) 288-6505
Business Location
1616 E RIVER RD
GRAFTON WI, 53024-1210, US
Phone (262) 618-4347
Fax
Toxanomy
Taxonomy Code 1223G0001X
License State Wisconsin
License Number WI4652
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According to our database, Dr. Michael Edward Grady D.D.S. NPI is 1437291267, taxonomy code is 1223G0001X and license number is WI4652, license state is located at Wisconsin. Michael Edward Grady D.D.S. physically located at 1801 W Wisconsin Ave, Milwaukee WI, 53233-2186. NPI Number Michael Edward Grady D.D.S. has the Individual type.

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1437291267 NPI number is provided on an as is basis without warranty of any kind. 1437291267 is maintained by the National Plan & Provider Enumeration System. The contents of Michael Edward Grady D.D.S. are for informational purposes only.