KELLY GRUETZMACHER GROSKOPF

OCONOMOWOC, WI
NPI1962850701
Former NameKELLY MARIE GRUETZMACHER
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: WI  1001308-15)
Enumeration Date2016-06-02
Last Update Date2017-03-03
Business Address
Dr. KELLY GRUETZMACHER GROSKOPF D.D.S.
W381N8165 ROLLING RIVER CIR
OCONOMOWOC, WI 53066-8950
Phone number: 715-459-3222
Mailing Address
Dr. KELLY GRUETZMACHER GROSKOPF D.D.S.
1951 COMMERCE PKWY
FORT ATKINSON, WI 53538-3139
Phone number: 920-563-4415