Individual
DR. JAN ELLEN GROUSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
8316 86TH AVE NW, GIG HARBOR, WA 98332-6747
(253) 851-8194
(253) 851-8195
Mailing address
8316 86TH AVE NW, GIG HARBOR, WA 98332-6747
(253) 851-8194
(253) 851-8195
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
G54010
CA
207Q00000X
Family Medicine Physician
Primary
MD 00026412
WA
Other
Enumeration date
03/23/2012
Last updated
03/23/2012
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