Individual
THOMAS JOHN GROTHE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
984300 NEBRASKA MEDICAL CTR, OMAHA, NE 68198-4300
(402) 559-9495
(402) 559-7996
Mailing address
984300 NEBRASKA MEDICAL CTR, OMAHA, NE 68198-4300
(402) 559-9495
(402) 559-7996
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
344
NE
Other
Enumeration date
05/10/2011
Last updated
05/10/2011
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