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Contact Information

JODY R GROSS, MD
1000 N OAK AVE
MARSHFIELD, WI54449-5777
 Phone: 715-387-5065
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pediatric Critical Care Medicine

2080P0203X 37 Physician/Pediatric Medicine
 

Critical Care Medicine

207RC0200X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for JODY R GROSS · (Female)

NPI # 1114028941
Status Active
Credentials MD
Entity Individual
Enumeration date 09/26/2006
Last updated 09/30/2010 - About 16 years ago
Sole proprietor 1 No
Identifiers
  • WI License # 26376
  • WI Medicaid 30590900
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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