Individual
MR. BRECK S GROSKREUTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
4140 CENTENNIAL HILLS BLVD STE A, CASPER, WY 82609-3265
(307) 265-7205
(307) 235-6262
Mailing address
4140 CENTENNIAL HILLS BLVD STE A, CASPER, WY 82609-3265
Taxonomy
Speciality
Code
Description
License number
State
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
PA893
WY
363A00000X
Physician Assistant
Primary
PA893
WY
363A00000X
Physician Assistant
PT893
WY
Other
Enumeration date
03/24/2020
Last updated
06/09/2026
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