Individual
ANDREW RYAN GROTE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
2702 CALUMET AVE, MANITOWOC, WI 54220-5547
(920) 683-8887
(920) 683-1216
Mailing address
1628 KNOLL CREST DR, SHEBOYGAN, WI 53081-7546
(920) 980-5199
(920) 683-1216
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
14013-40
WI
Other
Enumeration date
11/17/2011
Last updated
11/17/2011
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