Individual
BRYAN GROTHMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARM.D.
Contact information
Practice address
3200 PLEASANT VALLEY RD, WEST BEND, WI 53095-9274
(262) 836-7229
Mailing address
3200 PLEASANT VALLEY RD, WEST BEND, WI 53095-9274
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
16412-40
WI
Other
Enumeration date
05/22/2025
Last updated
05/22/2025
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