Individual
BRANDON T GROVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
1836 SOUTH AVE, LA CROSSE, WI 54601-5429
(608) 782-7300
Mailing address
1836 SOUTH AVE, LA CROSSE, WI 54601-5429
(608) 782-7300
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
02002718A
IN
208600000X
Surgery Physician
34.009779
OH
208600000X
Surgery Physician
Primary
51586-021
WI
Other
Enumeration date
09/29/2006
Last updated
05/07/2015
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