Individual
MERRITT GROH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
2720 STONE PARK BLVD, SIOUX CITY, IA 51104-3734
(712) 279-3141
Mailing address
PO BOX 91407, SIOUX FALLS, SD 57109-1407
(605) 312-7606
(605) 312-7611
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
0902
SD
363A00000X
Physician Assistant
Primary
097917
IA
Other
Enumeration date
01/30/2014
Last updated
10/28/2021
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