| Shara Grover Md Llc | |
|
305 Eagle Lake Ave Mukwonago WI 53149-1163 | |
| (262) 363-5719 | |
| (262) 363-9763 |
| Full Name | Shara Grover Md Llc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 305 Eagle Lake Ave, Mukwonago, Wisconsin |
| Authorized Official Name and Position | Shara Grover (PRESIDENT) |
| Authorized Official Contact | 3124980701 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Shara Grover Md Llc 305 Eagle Lake Ave Mukwonago WI 53149-1163 Ph: (262) 363-5719 | Shara Grover Md Llc 305 Eagle Lake Ave Mukwonago WI 53149-1163 Ph: (262) 363-5719 |
| NPI Number | 1942660170 |
|---|---|
| Provider Enumeration Date | 03/01/2016 |
| Last Update Date | 03/01/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942660170 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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