Organization
TR DEGROOT MD PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TERRY R DEGROOT M.D. (OWNER)
(616) 502-1997
Entity
Organization
Contact information
Practice address
1101 COLUMBUS AVE, GRAND HAVEN, MI 49417
(616) 847-3144
(616) 847-8416
Mailing address
1101 COLUMBUS AVE., GRAND HAVEN, MI 49417
(616) 847-3144
(616) 847-8416
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
TD038705
MI
Other
Enumeration date
06/08/2012
Last updated
06/05/2013
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