Haley Groelle

NPI #1750019105 in West Bend, Wisconsin

Provider Information

NPI Number: 1750019105
Entity Type: Individual
Name: Haley Groelle
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist
Enumeration Date: Aug 12, 2022
Last Updated: Aug 12, 2022

Practice Location

Address: 2115 W WASHINGTON STREET
City: West Bend
State: Wisconsin
ZIP Code: 53059
Phone: (262) 335-0822

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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