Individual
TIM P GROVE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
8901 W CAPITOL DR, MILWAUKEE, WI 53222-1706
(414) 465-1394
(414) 463-2770
Mailing address
8901 W CAPITOL DR, MILWAUKEE, WI 53222-1706
(414) 465-1394
(414) 463-2770
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
39751800
—
WI
Enumeration date
05/05/2008
Last updated
05/05/2008
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