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Individual

DR. WILLIAM CHARLES GROSKOPP

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.C.

Contact information

Practice address
205 N MAIN ST, SUITE 3, BRILLION, WI 54110-1197
(920) 756-2151
(920) 756-2152
Mailing address
205 N MAIN ST, SUITE 3, BRILLION, WI 54110-1197
(920) 756-2151
(920) 756-2152

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1608-012
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
E-30001791
WI
Enumeration date
08/13/2006
Last updated
08/23/2011
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