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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 - Phone
- (920) 476-6300
Quick Facts
- NPI
- 1174408306
- Entity Type
- Individual
- Gender
- Male
- Medicare
- Not confirmed
- Specialties
- 1
- Locations
- 1
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