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William Grosdidier
NPI 1447605886 · on the registry since 2016
Practice
- Address
- 1100 Wilford Hall Loop Bldg 4554
Jbsa Lackland, TX 78236 - Phone
- (651) 468-9356
- Clinicians at this address
- 598
Additional practice sites
- 3551 Roger Brooke Dr, Fort Sam Houston, TX
Registry record
- Primary taxonomy
- 1223S0112X
1223S0112X
- Also registered as
- 122300000X
390200000X - Licence states on file
- MN
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2025-03-18
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 Texas