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Individual
AMY L GROFF
Active
Individual
AMY L GROFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
50162
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1033159330
—
WI
Enumeration date
06/07/2006
Last updated
11/17/2020
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