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GRANT G BOSCHULT MD

Individual Provider (NPI-1) Active

Hospitalist

Provider Information

NPI Number
1346516820
Provider Type
Individual Provider (NPI-1)
Credentials
MD
Status
Active

Contact & Location

Address
3400 UNION AVE, SHEBOYGAN, WI, 530818426
Phone
(920) 802-2100
Fax
(920) 802-1500

Specialties & Taxonomies

Hospitalist Primary License: WI #61755
Internal Medicine License: WI #61755

All Addresses

MAILING

PO BOX 735044

CHICAGO, IL, 606735044

(800) 326-2250

LOCATION

3400 UNION AVE

SHEBOYGAN, WI, 530818426

(920) 802-2100