Individual
JOHN GROSSMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
2207 80TH ST, KENOSHA, WI 53143-5756
(262) 658-3731
Mailing address
1426 N BRIDGEPORT DR, MOUNT PROSPECT, IL 60056-1002
(847) 322-4293
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
22581-40
WI
Other
Enumeration date
06/24/2024
Last updated
06/24/2024
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