Nicole Marie Grossen, PA-C

NPI #1922311364 in Richland Center, Wisconsin

Provider Information

NPI Number: 1922311364
Entity Type: Individual
Name: Nicole Marie Grossen, PA-C
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA-C
Enumeration Date: Jul 14, 2010
Last Updated: Jul 10, 2020

Practice Location

Address: 301 E 2ND ST
City: Richland Center
State: Wisconsin
ZIP Code: 53581-1900
Phone: (608) 647-6161

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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