SARA MARIE GROTEFENDT

MARYVILLE, IL
NPI1255805594
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LX0001X Nurse Practitioner, Obstetrics & Gynecology
(Licence: IL  209017373)
Enumeration Date2019-01-21
Last Update Date2024-08-28
Business Address
SARA MARIE GROTEFENDT NP
6810 STATE ROUTE 162 STE 105
MARYVILLE, IL 62062-8560
Phone number: 618-288-9320
Mailing Address
SARA MARIE GROTEFENDT NP
6810 STATE ROUTE 162 BOX 215
MARYVILLE, IL 62062
Phone number: 618-391-6495
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