Doctor Name: | DR. GREGORY RICHARD GROTZ |
NPI Number: | 1033189105 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.D. |
License Number: | 40136020 |
Business Practice Address: | 350 North Grandview Dubuque, IA - 520016392 |
Business Phone Number: | 5635821881 |
Business Fax Number: | 5635892491 |
Mailing Address: | 1875 University Ave, Po Box 1655 DUBUQUE |
State: | IA |
Postal Code: | 520041655 |
Phone Number: | 5635566895 |
Fax Number: | 5635563618 |
NPI Enumeration Date: | 01/23/2006 |
NPI Last Update Date: | 07/09/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2085R0202X |
License Number: | 40136020 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | WI |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Radiology |
Taxonomy Specialization: | Diagnostic Radiology |
Taxonomy Definition: | A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |