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Individual

DR. TERRY W. GROGG

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
335 GLESSNER AVE FL 2, MANSFIELD, OH 44903-2269
(567) 241-7055
(567) 241-7565
Mailing address
PO BOX 7527, DUBLIN, OH 43017-0727
(614) 544-6155
(614) 544-6370

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
35058955
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0818717
OH
Enumeration date
08/03/2005
Last updated
01/05/2022
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