Individual
TIERNEY SHANNON GROSSKOPF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2323 N CASALOMA DR, APPLETON, WI 54913-8284
(920) 730-8833
Mailing address
2323 N CASALOMA DR, APPLETON, WI 54913-8284
(920) 730-8833
Taxonomy
Speciality
Code
Description
License number
State
207XS0106X
Orthopaedic Hand Surgery Physician
Primary
85743-20
WI
Other
Enumeration date
06/10/2015
Last updated
08/22/2025
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