Individual
MRS. CHRISTINE B GROTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPH, CDM
Contact information
Practice address
600 WALNUT RIDGE DR, HARTLAND, WI 53029-9385
(262) 369-7080
(262) 369-7081
Mailing address
819 RENSON RD, HARTLAND, WI 53029-1826
(262) 367-4788
(262) 369-7081
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
9960
WI
Other
Enumeration date
10/24/2007
Last updated
10/24/2007
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