Individual
KATHLEEN A GROCHOWSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APNP
Contact information
Practice address
420 E DIVISION ST, FOND DU LAC, WI 54935-4560
(920) 926-5666
Mailing address
420 E DIVISION ST, FOND DU LAC, WI 54935-4560
(920) 926-8340
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
3671
WI
363LA2200X
Adult Health Nurse Practitioner
3671-033
WI
Other
Enumeration date
03/03/2009
Last updated
11/29/2022
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