MR. Nicholas David Grotjohan

NPI #1427740364 in Sunrise, Florida

Provider Information

NPI Number: 1427740364
Entity Type: Individual
Name: MR. Nicholas David Grotjohan
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Contractor
Enumeration Date: May 22, 2023
Last Updated: Aug 14, 2023

Practice Location

Address: 5881 NW 16TH PL APT 219
City: Sunrise
State: Florida
ZIP Code: 33313-4776
Phone: (954) 297-7369

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Contractor	171W00000X	Primary

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