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Individual
DR. TERENCE M GROGAN
Active
Individual
DR. TERENCE M GROGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
02005401A
IN
207Q00000X
Family Medicine Physician
102050142
VA
207Q00000X
Family Medicine Physician
48857
WI
207Q00000X
Family Medicine Physician
5101017356
MI
Other
Enumeration date
08/20/2006
Last updated
08/20/2020
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