Search › Wisconsin › 363A00000X
Tamara Grissman, PA-C
NPI 1093022519 · on the registry since 2010
Practice
- Address
- 1284 N Summit Ave
Oconomowoc, WI 53066 - Phone
- (262) 560-3700
- Fax
- (262) 560-3759
- Clinicians at this address
- 17
Registry record
- Primary taxonomy
- 363A00000X
363A00000X
- Also registered as
- 363AS0400X
- Licence states on file
- WI
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2025-10-13
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