Individual
DR. MICHAEL J GRODE
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
7001 OLD SAUK RD, MADISON, WI 53717-2308
(608) 833-2578
Mailing address
19 EASTBOURNE CIR, MADISON, WI 53717-1094
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
4571-015
WI
Other
Enumeration date
05/30/2006
Last updated
07/08/2007
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