Individual
MR. BRECK GROSKREUTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
234 E 1ST ST, CASPER, WY 82601-2516
(307) 315-6403
(833) 992-2034
Mailing address
234 E 1ST ST, CASPER, WY 82601-2516
(307) 315-6403
(833) 992-2034
Taxonomy
Speciality
Code
Description
License number
State
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
Primary
PA893
WY
363A00000X
Physician Assistant
PT893
WY
Other
Enumeration date
03/24/2020
Last updated
12/13/2024
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