OrganizationActive
Great River Community Medical Clinic Sc
NPI 1659539203 · Family Medicine Physician · Prairie Du Chien, WI
Provider details
- NPI number
- 1659539203
- Entity type
- Organization
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Mark Grunwald, President(608) 326-5459
- License
- 23379 (WI)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(87/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
100 N Marquette Rd
Suite 106
Prairie Du Chien, WI 53821
Phone: (608) 326-1072
Fax: (608) 326-1076
Street-level locationGet directions
Mailing address
100 N Marquette Rd
Prairie Du Chien, WI 53821
Registry dates
- Enumerated
- 2008-05-30
- Last updated
- 2008-10-06
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.