Organization
KETTERING REPRODUCTIVE HEALTH, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JEREMY M GROLL M,D. (MEDICAL DIRECTOR)
(937) 395-8444
Entity
Organization
Contact information
Practice address
3533 SOUTHERN BLVD, KETTERING, OH 45429-1264
(937) 395-8444
(937) 395-8450
Mailing address
3533 SOUTHERN BLVD, KETTERING, OH 45429-1264
(937) 395-8444
(937) 395-8450
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
35.084514
MI
Other
Enumeration date
01/16/2014
Last updated
01/16/2014
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