Individual
MR. PATRICK DAVID GROMOWSKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
N6032 COUNTY ROAD PS, HARTFORD, WI 53027-9348
(262) 629-9865
Mailing address
N6032 COUNTY ROAD PS, HARTFORD, WI 53027-9348
(262) 629-9865
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
124172-30
WI
163WH0200X
Home Health Registered Nurse
—
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
39938900
—
WI
Enumeration date
01/31/2007
Last updated
10/26/2007
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