SearchWisconsin101YA0400X

Anthony Groothoff, SAC-IT

NPI 1699613364 · on the registry since 2026

Practice

Address
Po Box 189
Lac Du Flambeau, WI 54538
Phone
(715) 588-1511
Fax
(715) 588-3903
Clinicians at this address
2

Registry record

Primary taxonomy
101YA0400X
101YA0400X
Licence states on file
WI
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2026-03-24

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 Wisconsin