KEVIN P GROTH DC

Dr KEVIN P GROTH DC is a male medical professional, specializing in Chiropractic. He graduated in 2002 from Palmer College Chiropractic - Davenport.

Contact

1540 HERITAGE BLVD
SUITE 203
WEST SALEM
WI
546691418

Tel:

KEVIN P GROTH DC Information

Npi 1255350542
Pac Id 0042257800
Professional Enrollment Id I20050413000344
Last Name GROTH
First Name KEVIN
Middle Name P
Suffix
Gender M
Credential DC
Medical School Name PALMER COLLEGE CHIROPRACTIC - DAVENPORT
Graduation Year 2002
Primary Specialty CHIROPRACTIC
Secondary Specialty 1
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
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Organization Legal Name
Group Practice Pac Id
Number Of Group Practice Members
Line 1 Street Address 1540 HERITAGE BLVD
Line 2 Street Address SUITE 203
Marker Of Address Line 2 Suppression
City WEST SALEM
State WI
Zip Code 546691418
Phone Number
Hospital Affiliation Ccn 1
Hospital Affiliation Lbn 1
Hospital Affiliation Ccn 2
Hospital Affiliation Lbn 2
Hospital Affiliation Ccn 3
Hospital Affiliation Lbn 3
Hospital Affiliation Ccn 4
Hospital Affiliation Lbn 4
Hospital Affiliation Ccn 5
Hospital Affiliation Lbn 5
Professional Accepts Medicare Assignment M

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