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Individual

DR. TRAVIS GROTH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
840 N 87TH ST, MILWAUKEE, WI 53226-3586
(414) 805-5540
(414) 805-7878
Mailing address
840 N 87TH ST, MILWAUKEE, WI 53226-3586
(414) 805-5540
(414) 805-7878

Taxonomy

Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
47980020
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1487703864
WI
Enumeration date
01/09/2007
Last updated
03/11/2024
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