| Thomas W Grossman Jr, MD | |
|
608 W Brown St, Waupun, WI 53963-1702 | |
| (920) 324-6802 | |
| Not Available |
| Full Name | Thomas W Grossman Jr |
|---|---|
| Gender | Male |
| Speciality | Orthopaedic Surgery |
| Location | 608 W Brown St, Waupun, Wisconsin |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699749689 | NPI | - | NPPES |
| 32523000 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207X00000X | Orthopaedic Surgery | 36420 (Wisconsin) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Thomas W Grossman Jr, MD 420 E Division St, Fond Du Lac, WI 54935-4560 Ph: (920) 926-8340 | Thomas W Grossman Jr, MD 608 W Brown St, Waupun, WI 53963-1702 Ph: (920) 324-6802 |
Eric R Nelson, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 608 W Brown St, Waupun, WI 53963 Phone: 920-324-6802 | |
Bert C Callahan, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 608 W Brown St, Waupun, WI 53963 Phone: 920-324-6802 Fax: 920-324-8428 |