Provider Demographics
NPI:1669582532
Name:GRABOWSKI, CAROL MARIE (MD)
Entity type:Individual
Prefix:DR
First Name:CAROL
Middle Name:MARIE
Last Name:GRABOWSKI
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:3232 N BALLARD RD
Mailing Address - Street 2:SUITE 200
Mailing Address - City:APPLETON
Mailing Address - State:WI
Mailing Address - Zip Code:54911-8804
Mailing Address - Country:US
Mailing Address - Phone:920-749-9668
Mailing Address - Fax:920-734-5307
Practice Address - Street 1:3925 N GATEWAY DR
Practice Address - Street 2:
Practice Address - City:APPLETON
Practice Address - State:WI
Practice Address - Zip Code:54913-7863
Practice Address - Country:US
Practice Address - Phone:920-749-1171
Practice Address - Fax:920-749-1172
Is Sole Proprietor?:No
Enumeration Date:2006-08-30
Last Update Date:2025-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN332882085H0002X, 2085R0001X
WI649572085R0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0001XAllopathic & Osteopathic PhysiciansRadiologyRadiation Oncology
No2085H0002XAllopathic & Osteopathic PhysiciansRadiologyHospice and Palliative Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MN74160Medicare UPIN