Individual
BRADLEY JAMES GROFF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
752 PENBROOK WAY, HARTLAND, WI 53029-2654
(414) 213-0809
Mailing address
752 PENBROOK WAY, HARTLAND, WI 53029-2654
(414) 213-0809
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
170966-30
WI
Other
Enumeration date
03/29/2012
Last updated
03/29/2012
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