Individual
BRIANNA GROSSO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3003 UNIVERSITY DR, MARINETTE, WI 54143-4110
(715) 735-4200
Mailing address
3003 UNIVERSITY DR, MARINETTE, WI 54143-4110
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7157354200
—
WI
Enumeration date
07/27/2020
Last updated
07/27/2020
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