Grass, Robert J

Grass, Robert J is an individual health care provider with primary practice located at 420 E Division St , Fond Du Lac WI 54935-4560. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Adolescent Medicine, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Pediatrics is his primary health care specialty. Grass, Robert J can be contacted via phone (920) 926-8615.

Contact Information

Primary practice address
420 E Division St Fond Du Lac WI 54935-4560
Phone: (920) 926-8615
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Adolescent Medicine 207RA0000X 43234 Wisconsin
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 43234 Wisconsin

Profile Details

NPI number 1689665093
LBN Legal business name Grass, Robert J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 3rd, 2005
Last updated Oct 20th, 2020 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1689665093 NPPES
Wisconsin Other 110221540 RAILROAD MEDICARE
Wisconsin MEDICAID 34090300 RAILROAD MEDICARE

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