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Contact Information

TAMARA Z VERN GROSS, DO
2009 5TH ST
MONROE, WI53566-1546
 Phone: 608-324-2000
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Radiation Oncology

2085R0001X 92 Physician/Radiation Oncology
 

Hospice and Palliative Medicine

2080H0002X 37 Physician/Pediatric Medicine
 

Pediatrics

208000000X 37 Physician/Pediatric Medicine
Indicates primary specialty

NPI Profile & details for TAMARA Z VERN GROSS · (Female)

NPI # 1679732036
Status Active
Credentials DO (Doctor of Osteopathic)
Entity Individual
Enumeration date 06/02/2008
Last updated 08/01/2025 - About 10 months ago
Sole proprietor 1 No
Identifiers
  • AZ License # 006864
  • IA License # DO-06803
  • NC License # 2009-00655
  • TN License # 2703
  • WI License # 81684
  • WI Medicaid 1679732035
Hospital affiliation(s)
  • MAYO CLINIC HOSPITAL - (Acute Care)
    5777 EAST MAYO BOULEVARD
    PHOENIX, AZ 85054
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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