Individual
DR. STEVEN M GRODDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1503 RANDOLPH CT, MANITOWOC, WI 54220-8345
(920) 682-0321
(920) 682-3128
Mailing address
1503 RANDOLPH CT, MANITOWOC, WI 54220-8345
(920) 682-0321
(920) 682-3128
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
4077
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
33712900
—
WI
Enumeration date
08/23/2005
Last updated
07/08/2007
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