Jody R Gross
Critical Care Medicine Pediatric Critical Care Doctor
1000 N Oak Ave
Marshfield
, Wisconsin 54449-5777
Jody R Gross
Critical Care Medicine Pediatric Critical Care Doctor
1000 N Oak Ave
Marshfield
, Wisconsin 54449-5777
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About
Features
Specialties
- Critical Care Medicine
- Pediatric Critical Care Doctor
Languages spoken
- English
Location
First Address
- Jody R Gross
- 1000 N Oak Ave
- Marshfield, WI
- Zip : 54449-5777
- Phone :
Second Address
- Jody R Gross
- 1000 N Oak Ave
- Marshfield, WI
- Zip : 54449-5777
- Phone : (715) 387-5065
Reviews
FAQs
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Is Jody R Gross a sole practitioner?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 207RC0200X | Critical Care Medicine | 26376 | WI |
| Y | 2080P0203X | Pediatric Critical Care Doctor | 26376 | WI |
National Provider Identifier
| NPI | 1114028941 |
|---|---|
| Provider Name | Jody R Gross |
| First Address | Marshfield, WI 54449-5777 |
| Second Address | Marshfield, WI 54449-5777 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 26/09/2006 |
| Last Update Date | 30/09/2010 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 30590900 | (05) | WI |
| B53270 | (02) |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.