Groden, David L.

Groden, David L. is an individual health care provider with primary practice located at 16650 W Bluemound Rd Suite 200, Brookfield WI 53005-5920. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Groden, David L. can be contacted via phone (262) 827-9200.

Contact Information

Primary practice address
16650 W Bluemound Rd Suite 200 Brookfield WI 53005-5920
Phone: (262) 827-9200
Fax: (262) 827-9858
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 31054 Wisconsin

Profile Details

NPI number 1275575276
LBN Legal business name Groden, David L.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 12th, 2006
Last updated Sep 15th, 2015 - about 9 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 1275575276 NPPES
Wisconsin MEDICAID 31605700

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