Organization
SHARA GROVER MD LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SHARA GROVER M.D. (PRESIDENT)
(312) 498-0701
Entity
Organization
Contact information
Practice address
305 EAGLE LAKE AVE, MUKWONAGO, WI 53149-1163
(262) 363-5719
(262) 363-9763
Mailing address
305 EAGLE LAKE AVE, MUKWONAGO, WI 53149-1163
(262) 363-5719
(262) 363-9763
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
03/01/2016
Last updated
03/01/2016
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