Mark Grossklaus in Waukesha - Family Medicine

Mark Grossklaus - NPI 1255403101

Mark Grossklaus is a Family Medicine in Waukesha, Wisconsin. Mark Grossklaus practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Mark Grossklaus is 1255403101. The last update date is 2013-08-01.

Mark Grossklaus's current location address is 717 W Moreland Blvd, Waukesha, Wisconsin. You can contact this provider via phone number 2625429100 and fax number 2625427366. The mailing address for Mark Grossklaus is 717 W Moreland Blvd, Waukesha, Wisconsin. To know further, please read the information below!

Provider Profile Detail

Provider Name Mark Grossklaus
Address 717 W Moreland Blvd, Waukesha, Wisconsin
Phone Number 2625429100
Fax Number 2625427366
Sole Proprietor N
Credentials MD

NPI Number Detail

NPI Number 1255403101
Provider Enumeration Date 2006-11-15
Last Updated Date 2013-08-01

Provider Mailing Address Detail

Address 717 W Moreland Blvd
City Waukesha
State Wisconsin (WI)
Post Code 531882432
Phone Number 2625429100
Fax Number 2625427366

Provider's Primary Taxonomy Detail

Speciality Family Medicine
Taxonomy 207Q00000X
Licence No 36936
Definition:
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine i

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FAQs about Mark Grossklaus

What is the unique 10-digit identification code assigned to Mark Grossklaus by the Centers for Medicare & Medicaid Services?

The Mark Grossklaus has been issued the NPI (National Provider Identifier) 1255403101, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you provide the complete address where Mark Grossklaus is physically located?

The Mark Grossklaus is situated at the following address: 717 W Moreland Blvd, Waukesha, WI 531882432.

What is Mark Grossklaus's specialized field of practice, and what is the corresponding taxonomy classification code?

The Mark Grossklaus's area of specialization is Family Medicine, and the corresponding taxonomy code that categorizes this field of practice is 207Q00000X.

On what date did the Centers for Medicare & Medicaid Services assign the 1255403101 to Mark Grossklaus?

The Centers for Medicare & Medicaid Services assigned the 1255403101 to Mark Grossklaus on 2006-11-15.

As of what date were the details related to Mark Grossklaus most recently updated or revised?

The information pertaining to Mark Grossklaus, including its address, specialty, and other relevant details, was last updated or revised on 2013-08-01.

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