Individual
MARK GROSSKLAUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
717 W MORELAND BLVD, PROHEALTH CARE MEDICAL ASSOCIATES MORELAND FAMILY MEDI, WAUKESHA, WI 53188-2432
(262) 542-9100
(262) 542-7366
Mailing address
717 W MORELAND BLVD, PROHEALTH CARE MEDICAL ASSOCIATES MORELAND FAMILY MEDI, WAUKESHA, WI 53188-2432
(262) 542-9100
(262) 542-7366
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
36936
WI
Other
Enumeration date
11/15/2006
Last updated
08/01/2013
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