Individual
ELIZABETH MICHELLE GROGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
700 CHILDRENS DR, COLUMBUS, OH 43205-2664
(614) 722-6200
Mailing address
700 CHILDRENS DR, COLUMBUS, OH 43205-2664
(614) 722-6200
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
35.144435
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0477270
—
OH
Enumeration date
03/26/2019
Last updated
06/09/2022
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