Individual
DANA M GROSCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
200 ADMIRAL TROST RD STE 1A, COLUMBIA, IL 62236-2164
(618) 281-7373
(618) 281-6463
Mailing address
200 ADMIRAL TROST RD STE 1A, COLUMBIA, IL 62236-2164
(618) 281-7373
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
209011774
IL
363LF0000X
Family Nurse Practitioner
Primary
209011774
IL
Other
Enumeration date
09/05/2014
Last updated
01/16/2023
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