Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Great River Community Medical Clinic SC

Organization Family Medicine Physician · NPI 1659539203

Great River Community Medical Clinic SC is a Family Medicine Physician in Prairie Du Chien, Wisconsin. Licensed in Wisconsin. Registered with an NPI since 2008.

Licensed in
WI
In the registry since
2008
Specialties on file
2

Practice location Address checks out

100 N Marquette Rd Ste 106
Prairie Du Chien, WI 53821
Phone: (608) 326-1072
Fax: (608) 326-1076
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 23439 (WI)
Family Medicine Physician Taxonomy 207Q00000X · Licence 23379 (WI)

Record details

NPI number1659539203
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Mark Grunwald — President · (608) 326-5459
NPI enumeratedMay 30, 2008
Last updated in NPPESOctober 6, 2008
Mailing address100 N Marquette Rd, Suite 106, Prairie Du Chien, WI 53821

Other providers in Prairie Du Chien