Individual
DR. RICHARD VANGROUW
Active
Individual
DR. RICHARD VANGROUW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
C-5608
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
101504001
—
AR
01
—
554047109
MEDICARE ID UNSPECIFIED
AR
Enumeration date
11/07/2005
Last updated
02/16/2017
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