NPI 1487837993

Thomas Grulkowski

Practitioner Perfusionist West Allis, WI

Practice location

Address: 10150 W National Ave Suite 190, West Allis, WI 53227-2145
Phone: (414) 271-5119

Registered specialties

Perfusionist Primary

Technologists, Technicians & Other Technical Service Providers Taxonomy 242T00000X Licence 85-018 (WI)

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Registry record

NPI: 1487837993
Entity type: Individual
Sex (as registered): Male
NPI issued: 7 Dec 2007
Record last updated: 7 Dec 2007

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.