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Individual
BRIAN E GROGG
Active
Individual
BRIAN E GROGG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
40467
MN
Other
Enumeration date
12/28/2005
Last updated
08/14/2020
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