Individual
TERRY R DEGROOT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1617 SHELDON RD, GRAND HAVEN, MI 49417-2543
(616) 502-1997
Mailing address
1617 SHELDON RD, GRAND HAVEN, MI 49417-2543
(616) 502-1997
Taxonomy
Speciality
Code
Description
License number
State
207YX0007X
Plastic Surgery within the Head & Neck (Otolaryngology) Physician
Primary
4301038705
MI
Other
Enumeration date
07/20/2006
Last updated
12/13/2013
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