Individual
DR. ANDREW JONATHAN GROVE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
9000 W WISCONSIN AVE, ADOLESCENT MEDICINE, MILWAUKEE, WI 53226-4874
(414) 805-3666
Mailing address
10000 W INNOVATION DR, THIRD FLOOR, MILWAUKEE, WI 53226-4837
(414) 456-5006
(414) 456-6259
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
49470
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
34886600
—
WI
Enumeration date
08/08/2006
Last updated
02/13/2008
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