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Organization
GROGAN FAMILY MEDICINE LLC
Active
Organization
GROGAN FAMILY MEDICINE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TERENCE M GROGAN DO (PHYSICIAN/OWNER)
(765) 827-1800
Entity
Organization
Contact information
Practice address
3024 OHIO AVE, CONNERSVILLE, IN 47331-3073
(765) 222-1400
(866) 873-8524
Mailing address
3024 OHIO AVE, CONNERSVILLE, IN 47331-3073
(765) 222-1400
(866) 873-8524
Taxonomy
Speciality
Code
Description
License number
State
207QA0505X
Adult Medicine Physician
Primary
—
NULL
207QA0505X
Adult Medicine Physician
Primary
—
—
Other
Enumeration date
08/01/2019
Last updated
09/09/2019
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