Search › Wisconsin › 101YA0400X
Jeffrey Gross, SAC-IT
NPI 1720865488 · on the registry since 2023 · sole proprietor
Practice
- Address
- 540 N Broadway Rm 142
Green Bay, WI 54303 - Phone
- (920) 246-5990
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
- 2025-09-20
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