Individual
TERESA GROH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
5964 GOLF CLUB LN, HAMILTON, OH 45011-8224
(513) 893-1100
Mailing address
5964 GOLF CLUB LN, HAMILTON, OH 45011-8224
(513) 893-1100
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0130766
—
OH
Enumeration date
03/02/2012
Last updated
01/19/2021
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