GRANT MICHAEL ROETHEL

SHEBOYGAN, WI
NPI1174408306
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363L00000X Nurse Practitioner
(Licence: WI  17248-33)
Enumeration Date2025-08-07
Last Update Date2025-09-19
Business Address
GRANT MICHAEL ROETHEL
1414 N TAYLOR DR
SHEBOYGAN, WI 53081-1988
Phone number: 920-476-6300
Mailing Address
GRANT MICHAEL ROETHEL
1414 N TAYLOR DR
SHEBOYGAN, WI 53081-1988
Phone number: 920-946-1743
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