Grohman, Wendy L
Grohman, Wendy L is an individual health care provider with primary practice located at 12635 W Bluemound Rd , Brookfield WI 53005-8004. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Grohman, Wendy L can be contacted via phone (414) 258-0606.Contact Information
Primary practice address
12635 W Bluemound Rd
Brookfield WI 53005-8004
Phone: (414) 258-0606
Fax: (414) 258-1953
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Pediatrics | 363LP0200X | 815 | Wisconsin |
Profile Details
| NPI number | 1639120454 |
|---|---|
| LBN Legal business name | Grohman, Wendy L |
| Credentials | APNP |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 15th, 2006 |
| Last updated | Nov 10th, 2016 - about 10 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1639120454 | NPPES |
| Wisconsin | MEDICAID | 1639120454 |
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