Individual
SUSAN MARGARET GROSSKREUZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
1640 E SUMNER ST STE 100, HARTFORD, WI 53027-2684
(262) 670-4210
Mailing address
6868 NORTHVUE CT, WEST BEND, WI 53090-8101
(262) 353-2771
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
12078-40
WI
Other
Enumeration date
03/19/2020
Last updated
03/19/2020
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