Individual
DEVIN JAMIE GROSKLAUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4855 S MOORLAND RD, NEW BERLIN, WI 53151-7494
(262) 432-7599
Mailing address
136 E DODGE ST, PORT WASHINGTON, WI 53074-1623
(262) 689-2666
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
14460-33
WI
363LP0200X
Pediatric Nurse Practitioner
Primary
202326111
WI
Other
Enumeration date
08/08/2023
Last updated
08/31/2023
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