Most Relevant Information
Provider Data
| NPI Number: | 1003442849 |
| Provider Name: | JURGITA GRONKOWSKI PMHNP |
| Entity Type: | Individual |
| Taxonomy Code: | 363LP0808X |
| Specialty: | Nurse Practitioner |
| License Number: | 2019079039 |
Most Important Dates
| Enumeration Date: | 03/12/2020 |
| Last Updated: | 04/06/2020 |
Provider Practice Location
5000 W NATIONAL AVE
MILWAUKEE
WI
532952247
Practice Location Phone/Fax
| Phone: | 4143842000 |
| Fax: |
Provider Mailing Location
5000 W NATIONAL AVE
MILWAUKEE
WI
532950001
Provider Mailing Phone/Fax
| Phone: | 4143842000 |
| Fax: |