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Individual
DR. CARLA J GROH
Active
Individual
DR. CARLA J GROH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD APRN BC
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
4704098802
MI
364SP0809X
Adult Psychiatric/Mental Health Clinical Nurse Specialist
Primary
4704098802
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1821180274
—
MI
05
—
4635769
—
MI
Enumeration date
09/29/2006
Last updated
02/09/2026
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