Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Marc Grodsky, MD

Individual provider Surgery Physician · NPI 1639379118

Marc Grodsky, MD is a Colorectal Surgery (Proctology) in Green Bay, Wisconsin. Graduated from Medical College of Wisconsin in 2006, 20 years ago. Practices with St Vincent Hospital-Hospital Sisters-Third Order of St Francis, a 594-clinician group and accepts Medicare assignment. Licensed in District of Columbia and Wisconsin.

Years since qualifying
20
Trained at
Medical College of Wisconsin
Licensed in
DC, WI
In the registry since
2007
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

670 Cormier Rd
Green Bay, WI 54304-4824
Phone: (920) 494-9685
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Colon & Rectal Surgery Physician (primary) Taxonomy 208C00000X · Licence 62935-20 (WI)
Surgery Physician Taxonomy 208600000X · Licence MD041610 (DC)

Record details

NPI number1639379118
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJuly 23, 2007
Last updated in NPPESOctober 16, 2014
Mailing address670 Cormier Rd, Green Bay, WI 54304-4824

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCOLORECTAL SURGERY (PROCTOLOGY)
Also practisesGENERAL SURGERY
Medical schoolMEDICAL COLLEGE OF WISCONSIN
Graduated 2006 (20 years in practice)
Group practice St Vincent Hospital-Hospital Sisters-Third Order Of St Francis — 594 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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