Brenda J Grass in Fond Du Lac - Adolescent Medicine
Brenda J Grass - NPI 1356332753
Brenda J Grass is a Adolescent Medicine in Fond Du Lac, Wisconsin. Brenda J Grass practices all healthcare services and medical treatments related to Adolescent Medicine. The NPI Number for Brenda J Grass is 1356332753. The last update date is 2020-12-10.
Brenda J Grass's current location address is 420 E Division St, Fond Du Lac, Wisconsin. You can contact this provider via phone number 9209268615. The mailing address for Brenda J Grass is 420 E Division St, Fond Du Lac, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Brenda J Grass |
|---|---|
| Address | 420 E Division St, Fond Du Lac, Wisconsin |
| Phone Number | 9209268615 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1356332753 |
|---|---|
| Provider Enumeration Date | 2005-11-03 |
| Last Updated Date | 2020-12-10 |
Provider Mailing Address Detail
| Address | 420 E Division St |
|---|---|
| City | Fond Du Lac |
| State | Wisconsin (WI) |
| Post Code | 549354560 |
| Phone Number | 9209268615 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Adolescent Medicine |
|---|---|
| Taxonomy | 207Ra0000X |
| Licence No | 43233 |
|
Definition: An internist who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 34090400 | WI | -- | |
| 110221539 | WI | RAILROAD MEDICARE |
Post Comment/ Review Below
What is the unique identification code assigned to Brenda J Grass by the Centers for Medicare & Medicaid Services?
The Brenda J Grass has been issued the NPI (National Provider Identifier) 1356332753. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete physical address where Brenda J Grass is located?
The Brenda J Grass is situated at the following address: 420 E Division St, Fond Du Lac, WI, 549354560.
What is the Brenda J Grass's area of specialization and corresponding taxonomy classification?
The Brenda J Grass's specialty field is Adolescent Medicine, and it falls under the taxonomy code 207Ra0000X, which categorizes healthcare providers based on their specialties.
On what date did the Brenda J Grass receive its 1356332753 assignment from the Centers for Medicare & Medicaid Services?
The Brenda J Grass was assigned its 1356332753 by the Centers for Medicare & Medicaid Services on 2005-11-03.
When was the information pertaining to Brenda J Grass most recently updated or revised?
The details related to Brenda J Grass, including its address, specialty, and other relevant information, were last updated or revised on 2020-12-10.
NPI Number: 1275535502
Address: 1986 Enterprise Ave Apt B, Great Lakes, IL