Individual
CARLA C GROGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
63237
WI
208M00000X
Hospitalist Physician
63237
WI
208M00000X
Hospitalist Physician
ME147928
FL
Other
Enumeration date
04/11/2012
Last updated
06/30/2023
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