Groos, Fred L

Groos, Fred L is an individual health care provider with primary practice located at 1414 W Fair Ave Ste 242 , Marquette MI 49855-5406. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Groos, Fred L can be contacted via phone (906) 449-2900.

Contact Information

Primary practice address
1414 W Fair Ave Ste 242 Marquette MI 49855-5406
Phone: (906) 449-2900
Fax: (906) 449-2975
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 28880-020 Wisconsin

Profile Details

NPI number 1467456400
LBN Legal business name Groos, Fred L
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 8th, 2005
Last updated Apr 14th, 2021 - about 3 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 1467456400 NPPES
Wisconsin MEDICAID 31367800
Wisconsin Other 521823
Wisconsin Other 521824

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