Groenewold, Sandra
Groenewold, Sandra is an individual health care provider with primary practice located at 1095 Midway Rd , Menasha WI 54952-1115. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Psychiatry. Allopathic & Osteopathic Physicians / Psychiatry is her primary health care specialty. Groenewold, Sandra can be contacted via phone (920) 720-2300.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 36918 | Wisconsin |
| Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | 36918 | Wisconsin |
Profile Details
| NPI number | 1881620722 |
|---|---|
| LBN Legal business name | Groenewold, Sandra |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 23rd, 2006 |
| Last updated | Aug 4th, 2023 - about last year |
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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1881620722 | NPPES |
| Wisconsin | MEDICAID | 32309500 |
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