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GRANT ROETHEL

Nurse Practitioner

NPI: 1174408306Individual

Specialties, Licenses & Credentials

Nurse PractitionerPrimary

Nurse Practitioner

Code: 363L00000X

17248-33(WI)

Contact & Hours

Address
1414 N TAYLOR DR
SHEBOYGAN, WI 53081

Quick Facts

NPI
1174408306
Entity Type
Individual
Gender
Male
Medicare
Not confirmed
Specialties
1
Locations
1

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