Marc Grodsky MD

NPI 1639379118 - Surgery - 208600000X

NPI Details
NPI 1639379118
Gender Male
Enumeration Date 07/23/2007
Last Updated 10/16/2014
Entity Type Individual
Active Over 9 years ago
Practice Location
670 CORMIER RD
GREEN BAY WI, 54304-4824, US
Phone (920) 494-9685
Fax
Business Location
670 CORMIER RD
GREEN BAY WI, 54304-4824, US
Phone (920) 494-9685
Fax
Toxanomy
Taxonomy Code 208600000X
License State DO Columbia
License Number MD041610
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According to our database, Marc Grodsky MD NPI is 1639379118, taxonomy code is 208600000X and license number is MD041610, license state is located at DO Columbia. Marc Grodsky MD physically located at 670 Cormier Rd, Green Bay WI, 54304-4824. NPI Number Marc Grodsky MD has the Individual type.

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1639379118 NPI number is provided on an as is basis without warranty of any kind. 1639379118 is maintained by the National Plan & Provider Enumeration System. The contents of Marc Grodsky MD are for informational purposes only.