Grodsky, Marc

Grodsky, Marc is an individual health care provider with primary practice located at 670 Cormier Rd , Green Bay WI 54304-4824. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Colon & Rectal Surgery. Allopathic & Osteopathic Physicians / Colon & Rectal Surgery is his primary health care specialty. Grodsky, Marc can be contacted via phone (920) 494-9685.

Contact Information

Primary practice address
670 Cormier Rd Green Bay WI 54304-4824
Phone: (920) 494-9685
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X MD041610 District of Columbia
Allopathic & Osteopathic Physicians / Colon & Rectal Surgery 208C00000X 62935-20 Wisconsin

Profile Details

NPI number 1639379118
LBN Legal business name Grodsky, Marc
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 23rd, 2007
Last updated Oct 16th, 2014 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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