Individual
MARTIN G DEGROOT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
305 N MAIN ST, ENNIS, MT 59729-8001
(406) 682-6862
(406) 682-4756
Mailing address
305 N MAIN ST, ENNIS, MT 59729-8001
(406) 682-6682
(406) 682-4756
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
MED-PAC-LIC-77035
MT
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
08/02/2012
Last updated
01/30/2026
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