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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MARC GRODSKY, MD

Active

MARC GRODSKY, MD is a Colon & Rectal Surgery healthcare provider located in GREEN BAY, Wisconsin. NPI 1639379118 is currently active in the NPPES registry. Verify at CMS.

Colon & Rectal Surgery · GREEN BAY, WI

Registration Details

NPI Number
1639379118
Provider Type
Individual
Gender
Male
NPI Issued
Jul 23, 2007 (19.072174122627 yrs)
Last Updated
Oct 16, 2014
Licenses
MD041610 (DC)
62935-20 (WI)

Practice Information

Address
670 CORMIER RD
GREEN BAY, WI, 543044824
Browse WI providers · Browse ZIP 54304
Phone
9204949685
Primary Specialty
Colon & Rectal Surgery
208C00000X
Additional Specialty
Colon & Rectal Surgery

Other Colon & Rectal Surgery Providers in GREEN BAY, WI

Name Credential NPI
PETER MICHAEL FALK MD 1053424853
SCOTT LEWIS RUGGLES MD 1174636062
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.