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NPI Code Detail

MEDICARE: MARGARET M GRENISEN MD

MEDICARE: MARGARET M GRENISEN MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207Q00000XFamily Medicine Physician32890WI

General Provider Information

NPI Number : 1447231766
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARGARET M GRENISEN MD
Provider Business Mailing Address
First Line : 200 1ST ST SW
Second Line :
City : ROCHESTER
State : MN
Zip : 55905-0001
Country : US
Telephone Number : 608-785-0940
Fax Number :
Provider Business Practice Location Address
First Line : 800 WEST AVE S
Second Line :
City : LA CROSSE
State : WI
Zip : 54601-8806
Country : US
Telephone Number : 608-392-9891
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/14/2005
Last Update Date : 06/15/2026

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