Gross, Jody R

Gross, Jody R is an individual health care provider with primary practice located at 1000 N Oak Ave , Marshfield WI 54449-5777. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Critical Care Medicine, Allopathic & Osteopathic Physicians / Pediatric Critical Care Medicine. Allopathic & Osteopathic Physicians / Pediatric Critical Care Medicine is her primary health care specialty. Gross, Jody R can be contacted via phone (715) 387-5065.

Contact Information

Primary practice address
1000 N Oak Ave Marshfield WI 54449-5777
Phone: (715) 387-5065
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Critical Care Medicine 207RC0200X 26376 Wisconsin
Allopathic & Osteopathic Physicians / Pediatric Critical Care Medicine 2080P0203X 26376 Wisconsin

Profile Details

NPI number 1114028941
LBN Legal business name Gross, Jody R
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 26th, 2006
Last updated Sep 30th, 2010 - about 16 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 1114028941 NPPES
Wisconsin MEDICAID 30590900

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