Individual
ADAM GROOSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.S., LAT, PES
Contact information
Practice address
975 PORT WASHINGTON RD, GRAFTON, WI 53024-9201
(262) 329-2700
Mailing address
975 PORT WASHINGTON RD, GRAFTON, WI 53024-9201
(262) 329-2700
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
1468-38
WI
Other
Enumeration date
07/06/2014
Last updated
07/06/2014
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