Ann L Grunwald, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

23379 Issued in WI

Practice address

304 S Jackson St
Prairie Du Chien, WI 53821-1821

Phone

(608) 326-5459

NPI assigned

Jun 20, 2005

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Credentials

Doctor of Medicine

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Great River Community Medical Clinic SC

  • Family Medicine Physician
  • Prairie Du Chien, WI
  • NPI 1659539203
  NPD (past)
• Gundersen Clinic LTD

  • Clinic/Center
  • La Crosse, WI
  • NPI 1851343115
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1119225600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1207612800000",
    "number": "1174528756",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "304 S JACKSON ST",
            "city": "PRAIRIE DU CHIEN",
            "state": "WI",
            "postal_code": "538211821",
            "telephone_number": "608-326-5459"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "304 S JACKSON ST",
            "city": "PRAIRIE DU CHIEN",
            "state": "WI",
            "postal_code": "538211821",
            "telephone_number": "608-326-5459"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRUNWALD",
        "first_name": "ANN",
        "middle_name": "L",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-06-20",
        "last_updated": "2008-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WI",
            "license": "23379",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30483300",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sandy Z. Goree, R.D.
• Penny K Grassel, LAT
• Great River Community Medical Center, SC
• Great River Community Medical Clinic SC
• Erin M Greenya
• Mark A Grunwald, MD
• Gundersen Clinic LTD
• Gundersen Clinic, LTD.
• Gundersen Clinic, LTD.
• Gundersen Clinic, LTD.

• Family Medicine Physician in Prairie Du Chien, WI
• Providers in Prairie Du Chien, WI by specialty
• Family Medicine Physician in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.