MEDICARE: PAULA GROSSCHADL RN

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
1	163W00000X	Registered Nurse	124149-30	WI

General Provider Information

NPI Number	:	1700256823
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	PAULA GROSSCHADL RN

Provider Business Mailing Address
First Line	:	1235 MONROE AVE
Second Line	:
City	:	SOUTH MILWAUKEE
State	:	WI
Zip	:	53172-2017
Country	:	US
Telephone Number	:	414-380-0228
Fax Number	:

Provider Business Practice Location Address
First Line	:	1235 MONROE AVE
Second Line	:
City	:	SOUTH MILWAUKEE
State	:	WI
Zip	:	53172-2017
Country	:	US
Telephone Number	:	414-380-0228
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/01/2015
Last Update Date	:	03/22/2026

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