NPI 1639379118

Marc Grodsky, MD

Practitioner Colon & Rectal Surgery Physician Green Bay, WI

Practice location

Address: 670 Cormier Rd, Green Bay, WI 54304-4824
Phone: (920) 494-9685

Registered specialties (2)

Colon & Rectal Surgery Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208C00000X Licence 62935-20 (WI)

Other Colon & Rectal Surgery providers in Wisconsin →

Surgery Physician

Allopathic & Osteopathic Physicians Taxonomy 208600000X Licence MD041610 (DC)

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Registry record

NPI: 1639379118
Entity type: Individual
Sex (as registered): Male
NPI issued: 23 Jul 2007
Record last updated: 16 Oct 2014

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.