Individual
SHARON GROGG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
2215 44TH ST SW, WYOMING, MI 49519-6439
(616) 252-8308
Mailing address
2215 44TH ST SW, WYOMING, MI 49519-6439
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
5501003690
MI
Other
Enumeration date
03/15/2018
Last updated
03/15/2018
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