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Individual
KIRSTEN RUTH GROODY
Active
Individual
KIRSTEN RUTH GROODY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
MD475892
PA
207LP3000X
Pediatric Anesthesiology Physician
Primary
4301509522
MI
207LP3000X
Pediatric Anesthesiology Physician
MD475892
PA
Other
Enumeration date
06/25/2017
Last updated
09/07/2023
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