Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
GRANT MICHAEL ROETHEL
ActiveGRANT MICHAEL ROETHEL is a Nurse Practitioner healthcare provider located in SHEBOYGAN, Wisconsin. NPI 1174408306 is currently active in the NPPES registry. Verify at CMS.
Nurse Practitioner · SHEBOYGAN, WI
Registration Details
- NPI Number
- 1174408306
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 7, 2025 (1.0288156746931 yrs)
- Last Updated
- Sep 19, 2025
- License
-
17248-33 (WI)
Practice Information
- Address
-
1414 N TAYLOR DRSHEBOYGAN, WI, 530811988Browse WI providers · Browse ZIP 53081
- Phone
- 9204766300
- Primary Specialty
-
Nurse Practitioner
363L00000X
Other Nurse Practitioner Providers in SHEBOYGAN, WI
| Name | Credential | NPI |
|---|---|---|
| MRS. NANCY A MCLAUGHLIN | APNP | 1972584324 |
| MS. THERESA BROSNAN SCHULER | NP | 1780635151 |
| MS. JULIE A PARVE | NP | 1174575021 |
| CYNTHIA MILDRED FISHER | NP | 1457390510 |
| KRISTEN A BRAZZALE | APNP | 1851321483 |
| RHONDA R ADLER | APNP | 1295756716 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.