Gary Gene Grote in Wausau - Addiction (substance Use Disorder)
Gary Gene Grote - NPI 1457493280
Gary Gene Grote is a Addiction (substance Use Disorder) in Wausau, Wisconsin. Gary Gene Grote practices all healthcare services and medical treatments related to Addiction (substance Use Disorder). The NPI Number for Gary Gene Grote is 1457493280. The last update date is 2016-11-09.
Gary Gene Grote's current location address is 114 Grand Ave, Wausau, Wisconsin. You can contact this provider via phone number 7158457175 and fax number 7158457142. The mailing address for Gary Gene Grote is 114 Grand Ave, Wausau, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Gary Gene Grote |
|---|---|
| Address | 114 Grand Ave, Wausau, Wisconsin |
| Phone Number | 7158457175 |
| Fax Number | 7158457142 |
| Sole Proprietor | N |
| Credentials | CSAC |
NPI Number Detail
| NPI Number | 1457493280 |
|---|---|
| Provider Enumeration Date | 2007-02-12 |
| Last Updated Date | 2016-11-09 |
Provider Mailing Address Detail
| Address | 114 Grand Ave |
|---|---|
| City | Wausau |
| State | Wisconsin (WI) |
| Post Code | 544036214 |
| Phone Number | 7158457175 |
| Fax Number | 7158457142 |
Provider's Primary Taxonomy Detail
| Speciality | Addiction (substance Use Disorder) |
|---|---|
| Taxonomy | 101Ya0400X |
| Licence No | 15180 |
|
Definition: A counselor who helps people with alcohol, drug, gambling, internet, and other types of addictions. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 39174300 | WI | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Gary Gene Grote by the Centers for Medicare & Medicaid Services (CMS)?
The Gary Gene Grote has been assigned the NPI (National Provider Identifier) 1457493280. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you please provide the complete physical location address of Gary Gene Grote?
The Gary Gene Grote is physically situated at 114 Grand Ave, in the city of Wausau, state of WI, with the postal code 544036214.
What is Gary Gene Grote's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Gary Gene Grote is Addiction (substance Use Disorder), and the taxonomy code that classifies this field of practice is 101Ya0400X.
On what date did the Centers for Medicare & Medicaid Services assign the 1457493280 to Gary Gene Grote?
The Centers for Medicare & Medicaid Services assigned the 1457493280 to Gary Gene Grote on 2007-02-12.
When was the information related to Gary Gene Grote most recently updated or refreshed?
The details pertaining to the Gary Gene Grote, including its address, specialty, and other relevant information, were last updated or refreshed on 2016-11-09.