Grosel, Mark C

Grosel, Mark C is an individual health care provider with primary practice located at 237 Wisconsin Ave , Waukesha WI 53186-4955. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as his primary health care specialty. Grosel, Mark C can be contacted via phone (262) 321-0240.

Contact Information

Primary practice address
237 Wisconsin Ave Waukesha WI 53186-4955
Phone: (262) 321-0240
Fax: (262) 321-0242
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 1891-024 Wisconsin

Profile Details

NPI number 1134141526
LBN Legal business name Grosel, Mark C
Credentials Physical Therapist (PT)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 24th, 2006
Last updated Jul 8th, 2007 - about 18 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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Identifiers

StateTypeNumberIssuer
All States NPI 1134141526 NPPES
Wisconsin MEDICAID 40166200

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