Robert J Grass in Fond Du Lac - Adolescent Medicine
Robert J Grass - NPI 1689665093
Robert J Grass is a Adolescent Medicine in Fond Du Lac, Wisconsin. Robert J Grass practices all healthcare services and medical treatments related to Adolescent Medicine. The NPI Number for Robert J Grass is 1689665093. The last update date is 2020-10-20.
Robert 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 Robert J Grass is 420 E Division St, Fond Du Lac, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Robert 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 | 1689665093 |
|---|---|
| Provider Enumeration Date | 2005-11-03 |
| Last Updated Date | 2020-10-20 |
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 | 43234 |
|
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. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 110221540 | WI | RAILROAD MEDICARE | |
| 34090300 | WI | -- |
Post Comment/ Review Below
What is the Robert J Grass's unique identification number?
The Robert J Grass has been assigned the NPI (National Provider Identifier) Number 1689665093 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you please share the complete physical address where Robert J Grass is geographically located?
The Robert J Grass is physically situated at the following location: 420 E Division St, Fond Du Lac, WI, 549354560.
What is Robert J Grass's area of expertise and its corresponding taxonomy classification?
The Robert J Grass's field of specialization is Adolescent Medicine, and it falls under the taxonomy code 207Ra0000X, which categorizes healthcare providers based on their areas of practice.
On what date did the Robert J Grass receive the assignment of its 1689665093 from the Centers for Medicare & Medicaid Services?
The Robert J Grass was issued its 1689665093 by the Centers for Medicare & Medicaid Services on 2005-11-03.
As of what date were the details related to Robert J Grass most recently updated or revised?
The information pertaining to Robert J Grass, including its address, specialty, and other relevant details, was last updated or revised on 2020-10-20.