Individual
DWIGHT DENNIS GROSHEK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1744 SUNSET LAKE RD, AMHERST JUNCTION, WI 54407-8927
(715) 572-3064
Mailing address
1744 SUNSET LAKE RD, AMHERST JUNCTION, WI 54407-8927
(715) 572-3064
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
S12700
AL
Other
Enumeration date
01/23/2020
Last updated
01/23/2020
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