| NPI Details | |
|---|---|
| NPI | 1982719134 |
| Gender | Male |
| Enumeration Date | 08/20/2006 |
| Last Updated | 09/18/2008 |
| Entity Type | Individual |
| Active | Over 11 years ago |
| Practice Location | |
|---|---|
| 10101 S 27TH ST FRANKLIN WI, 53132-7209, US |
|
| Phone | (414) 325-4940 |
| Fax | |
| Business Location | |
|---|---|
| 10101 S 27TH ST FRANKLIN WI, 53132-7209, US |
|
| Phone | (414) 325-4940 |
| Fax | |
| Toxanomy | |
|---|---|
| Taxonomy Code | 207Q00000X |
| License State | Wisconsin |
| License Number | 38321 |
| Remove 1982719134 NPI Number | |
According to our database, Timothy J Grass D.O. NPI is 1982719134, taxonomy code is 207Q00000X and license number is 38321, license state is located at Wisconsin. Timothy J Grass D.O. physically located at 10101 S 27th St, Franklin WI, 53132-7209. NPI Number Timothy J Grass D.O. has the Individual type.
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1982719134 NPI number is provided on an as is basis without warranty of any kind. 1982719134 is maintained by the National Plan & Provider Enumeration System. The contents of Timothy J Grass D.O. are for informational purposes only.
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