STEPHANIE WISE GROSVENOR

MANITOWOC, WI
NPI1912193640
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy207V00000X Obstetrics & Gynecology
(Licence: WI  71584-21)
Additional Taxonomies207V00000X Obstetrics & Gynecology
(Licence: IN  02006694A)
207V00000X Obstetrics & Gynecology
(Licence: MI  1132870)
Enumeration Date2007-09-17
Last Update Date2025-09-22
Business Address
Dr. STEPHANIE WISE GROSVENOR D.O.
1650 S 41ST ST
MANITOWOC, WI 54220-7316
Phone number: 920-476-6200
Mailing Address
Dr. STEPHANIE WISE GROSVENOR D.O.
1650 S 41ST ST
MANITOWOC, WI 54220-7316
Phone number: 920-476-6200