Individual
MR. THOMAS MICHAEL GROTHE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
1200 EL CAMINO REAL, SOUTH SAN FRANCISCO, CA 94080-3208
(650) 742-2857
Mailing address
210 CASTRO ST, SAN FRANCISCO, CA 94114-1519
(415) 255-1107
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
332867
CA
Other
Enumeration date
08/30/2006
Last updated
07/09/2007
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