Individual
LINDA GROSSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4777 S 27TH ST, T-0024, GREENFIELD, WI 53221-2601
(414) 282-0634
(414) 282-0634
Mailing address
4777 S 27TH ST, T-0024, GREENFIELD, WI 53221-2601
(414) 282-0634
(414) 282-0634
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
9319-40
WI
Other
Enumeration date
06/18/2011
Last updated
06/18/2011
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