Dr Stephanie Wise Grosvenor, DO is a medicare enrolled "Obstetrics & Gynecology" physician in Manitowoc, Wisconsin. She went to Michigan State University College Of Osteopathic Medicine and graduated in 2007 and has 19 years of diverse experience with area of expertise as Obstetrics/gynecology. She is a member of the group practice Froedtert Manitowoc Medical Group, Llc and her current practice location is
1650 S 41st St, Manitowoc, Wisconsin. You can reach out to her office (for appointments etc.) via phone at
(920) 476-6200.
Dr Stephanie Wise Grosvenor is licensed to practice in Wisconsin (license number 71584-21) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1912193640.
Physician's Profile
| Full Name | Dr Stephanie Wise Grosvenor |
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| Gender | Female |
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| Speciality | Obstetrics/gynecology |
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| Experience | 19 Years |
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| Location | 1650 S 41st St, Manitowoc, Wisconsin |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Dr Stephanie Wise Grosvenor attended and graduated from Michigan State University College Of Osteopathic Medicine in 2007
NPI Data:
- NPI Number: 1912193640
- Provider Enumeration Date: 09/17/2007
- Last Update Date: 06/03/2026
Medicare PECOS Information:
- PECOS PAC ID: 7517139587
- Enrollment ID: I20190906000846
Medical Identifiers
Medical identifiers for Dr Stephanie Wise Grosvenor such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1912193640 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207V00000X | Obstetrics & Gynecology | 02006694A (Indiana) | Secondary |
| 207V00000X | Obstetrics & Gynecology | 1132870 (Michigan) | Secondary |
| 207V00000X | Obstetrics & Gynecology | 71584-21 (Wisconsin) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Froedtert Manitowoc Medical Group, Llc | 2365836954 | 165 |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Stephanie Wise Grosvenor is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Dr Stephanie Wise Grosvenor, DO
1650 S 41st St,
Manitowoc, WI 54220-7316
Ph: (920) 476-6200 | Dr Stephanie Wise Grosvenor, DO
1650 S 41st St,
Manitowoc, WI 54220-7316
Ph: (920) 476-6200 |
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