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Individual

CASSI BRIELLE GROTEPAS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
800 E CARPENTER ST, SPRINGFIELD, IL 62769-1000
(217) 522-3117
Mailing address
15 NORTH MEDICAL DRIVE EAST, STE. #1100, SALT LAKE CITY, UT 84112

Taxonomy

Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
036148321
IL
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
10071478-1205
UT

Other

Enumeration date
05/28/2013
Last updated
03/22/2023
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