Individual
ELLIOT IAN GRODSTEIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
204F00000X
Transplant Surgery Physician
Primary
63926-20
WI
Other
Enumeration date
05/03/2010
Last updated
08/12/2015
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