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NPI Code Detail

MEDICARE: VICTORIA E GROTH

MEDICARE:   VICTORIA E GROTH
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1183500000XPharmacist15226WI

General Provider Information

NPI Number : 1528342326
Entity Type Code : Individual
Provider Name (Legal Business Name) : VICTORIA E GROTH
Provider Business Mailing Address
First Line : 1433 W BURNHAM ST
Second Line :
City : MILWAUKEE
State : WI
Zip : 53204-3251
Country : US
Telephone Number : 414-672-3017
Fax Number :
Provider Business Practice Location Address
First Line : 1433 W BURNHAM ST
Second Line :
City : MILWAUKEE
State : WI
Zip : 53204-3251
Country : US
Telephone Number : 414-672-3017
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/28/2011
Last Update Date : 09/28/2011

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Directions to “ VICTORIA E GROTH ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.