NPI 1164677001

Jeffrey William Grosskopf, DC

Practitioner Chiropractor Wauwatosa, WI

Practice location

Address: 11430 W Bluemound Rd Suite 203, Wauwatosa, WI 53226-4050
Phone: (414) 426-9677

Registered specialties

Chiropractor Primary

Chiropractic Providers Taxonomy 111N00000X Licence 4451-12 (WI)

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Registry record

NPI: 1164677001
Entity type: Individual
Sex (as registered): Male
NPI issued: 19 Nov 2008
Record last updated: 19 Nov 2008

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.