Sara Grotefendt, NP

NPI 1255805594 · on the registry since 2019

Practice

Address: 6810 State Route 162 Ste 105
Maryville, IL 62062
Phone: (618) 288-9320
Fax: (618) 288-9258
Organisation at this address: Mark Fedder, Md, Pc
Mark Edelstein, Md, Pc
Sps Surgical Services, Sc
James J. Dalla Riva, Md, Pc
Anderson Medical Group, Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 31

Registry record

Primary taxonomy: 363LX0001X
363LX0001X
Licence states on file: IL
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2024-08-28

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois