Individual
DR. GREGORY S GROSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1414 N TAYLOR DR, STE 210, SHEBOYGAN, WI 53081-3090
(920) 457-4858
(920) 457-3650
Mailing address
1414 N TAYLOR DR, STE 210, SHEBOYGAN, WI 53081-3090
(920) 457-4858
(920) 457-3650
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
32294
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
31708200
—
WI
Enumeration date
06/24/2005
Last updated
07/25/2011
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