Individual provider · Type 1 NPI
Collin Patrick Groves
Student in an Organized Health Care Education/Training Program · Mukwonago, WI
NPI number
1760923866
Active
Practice location
644 Prairie Hill Ave
Mukwonago, WI 53149-8932
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Athletic Trainer | 2255A2300X | None listed |
| Student in an Organized Health Care Education/Training Program Primary | 390200000X | None listed |
Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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- Mackenzie DederichStudent in an Organized Health Care Education/Training Program Mukwonago, WI NPI 1467185371
About NPI 1760923866
Collin Patrick Groves's National Provider Identifier is 1760923866, issued on Mar 9, 2017. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Mukwonago, WI. The record was last updated on Mar 9, 2017.