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Johanna Louise Gross
Family Nurse Practitioner in Oak Creek, Wisconsin
NPI 1750841482

Johanna Louise Gross is a Family Nurse Practitioner based in Butler, WI and is specialized in Family. Johanna Louise Gross practices in Oak Creek, WI. The NPI Number for Johanna Louise Gross is 1750841482 and holds a License No. 9156-33 (Wisconsin).

The current practice location address for Johanna Louise Gross is 7901 S 6Th St, Oak Creek, WI and can be reached out via phone at 414-346-8000.

Location: 7901 S 6Th St, Oak Creek, WI, 53007-1532
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1750841482
Provider Name
Johanna Louise Gross
Credential
Provider Entity Type
Individual
Gender
Female
Address
7901 S 6Th St, Oak Creek, WI, 53007-1532
Phone Number
414-346-8000
Fax Number
Provider Enumeration Date
03/20/2019
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
9156-33 05 WI
institution
Provider Business Practice Location Address Details
Address
7901 S 6Th St
City
Oak Creek
State
Wisconsin
Zip
53154-2010
Phone Number
414-346-8000
Fax Number
person
Provider Business Mailing Address Details
Address
7901 S 6Th St
City
Oak Creek
State
Wisconsin
Zip
53154-2010
Phone Number
414-346-8000
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
9156-33 (Wisconsin)
Definition
Definition to come...
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