Individual
DR. STEPHANIE WISE GROSVENOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
1650 S 41ST ST, MANITOWOC, WI 54220-7316
(920) 476-6200
Mailing address
1650 S 41ST ST, MANITOWOC, WI 54220-7316
(920) 476-6200
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
02006694A
IN
207V00000X
Obstetrics & Gynecology Physician
1132870
MI
207V00000X
Obstetrics & Gynecology Physician
Primary
71584-21
WI
Other
Enumeration date
09/17/2007
Last updated
09/22/2025
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