Individual
PROF. SIDNEY E. GROSSBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
8701 W WATERTOWN PLANK RD # CCN2542, MEDICAL COLLEGE OF WISCONSIN, MILWAUKEE, WI 53226-3548
(414) 456-8105
(414) 456-6566
Mailing address
8701 W WATERTOWN PLANK RD # CCN2542, MEDICAL COLLEGE OF WISCONSIN, MILWAUKEE, WI 53226-3548
(414) 456-8105
(414) 456-6566
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
WI-15815-020
WI
Other
Enumeration date
08/21/2007
Last updated
08/21/2007
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