Timothy J Grass D.O.

NPI 1982719134 - Family Medicine - 207Q00000X

NPI Details
NPI 1982719134
Gender Male
Enumeration Date 08/20/2006
Last Updated 09/18/2008
Entity Type Individual
Active Over 10 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.