Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Great River Community Medical Clinic SC

Organization Family Medicine Physician · NPI 1659539203

Great River Community Medical Clinic SC provides Family Medicine Physician services 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 Not confirmed with CMS for 18 years — call before visiting
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