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Dwight Dennis Groshek
Student in an Organized Health Care Education/Training Program in Amherst Junction, Wisconsin
NPI 1306476817

Dwight Dennis Groshek is a Student in an Organized Health Care Education/Training Program based in Amherst Junction, WI. Dwight Dennis Groshek practices in Amherst Junction, WI. The NPI Number for Dwight Dennis Groshek is 1306476817 and holds a License No. S12700 (Wisconsin).

The current practice location address for Dwight Dennis Groshek is 1744 Sunset Lake Rd, Amherst Junction, WI and can be reached out via phone at 715-572-3064.

Location: 1744 Sunset Lake Rd, Amherst Junction, WI, 54407-8927
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1306476817
Provider Name
Dwight Dennis Groshek
Credential
Provider Entity Type
Individual
Gender
Male
Address
1744 Sunset Lake Rd, Amherst Junction, WI, 54407-8927
Phone Number
715-572-3064
Fax Number
Provider Enumeration Date
01/23/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1744 Sunset Lake Rd
City
Amherst Junction
State
Wisconsin
Zip
54407-8927
Phone Number
715-572-3064
Fax Number
person
Provider Business Mailing Address Details
Address
1744 Sunset Lake Rd
City
Amherst Junction
State
Wisconsin
Zip
54407-8927
Phone Number
715-572-3064
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
S12700 (Alabama)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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