NPI 1003535071

Magnolia Mae Grenawalt, PTA

Practitioner Physical Medicine & Rehabilitation Physician New Glarus, WI

Practice location

Address: 600 2nd Ave, New Glarus, WI 53574-9776
Phone: (608) 527-4390

Registered specialties

Physical Medicine & Rehabilitation Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208100000X Licence 4002-19 (WI)

Other Physical Medicine & Rehabilitation providers in Wisconsin →

Registry record

NPI: 1003535071
Entity type: Individual
Sex (as registered): Female
NPI issued: 24 Aug 2022
Record last updated: 24 Aug 2022

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.