Individual
DR. REX COLEMAN GROMER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2 LAKE RD, MENASHA, WI 54952-3416
(920) 246-3543
Mailing address
2 LAKE RD, MENASHA, WI 54952-3416
(920) 246-3543
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
18738-20
WI
Other
Enumeration date
04/07/2021
Last updated
04/07/2021
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