Individual
CHARLES G GROEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
01068054A
IN
2085R0001X
Radiation Oncology Physician
036085244
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000726585
ANTHEM PROVIDER NUMBER
IN
05
—
036085244
—
IL
05
—
201034800
—
IN
Enumeration date
09/30/2005
Last updated
11/04/2011
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
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