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Peter Grande
NPI 1942638572 · on the registry since 2013
Practice
- Address
- 1902 Mead Ave
Sheboygan, WI 53081 - Phone
- (920) 458-8333
- Organisation at this address
- Nsh Progressive Llc
Extendicare Homes, Inc.
Fmg Mead Avenue Wisconsin LlcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 27
Registry record
- Primary taxonomy
- 225100000X
225100000X
- Licence states on file
- WI
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2013-10-16
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Wisconsin