Individual
DR. HENRY ERIC DEGROOT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
196 WIKIUP DR, SANTA ROSA, CA 95403-7773
(707) 527-9517
(707) 527-9913
Mailing address
196 WIKIUP DR, SANTA ROSA, CA 95403-7773
(707) 527-9517
(707) 527-9913
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
A55665
CA
Other
Enumeration date
07/20/2006
Last updated
08/01/2022
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