Individual
JEFFREY WILLIAM GROSSKOPF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
11430 W BLUEMOUND RD, SUITE 203, WAUWATOSA, WI 53226-4050
(414) 426-9677
Mailing address
11430 W BLUEMOUND RD, SUITE 203, WAUWATOSA, WI 53226-4050
(414) 426-9677
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
4451-12
WI
Other
Enumeration date
11/19/2008
Last updated
11/19/2008
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