Individual
RYAN MICHAEL GROTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
1380 NW WASHINGTON BLVD, HAMILTON, OH 45013-1208
(937) 829-7133
(513) 829-7134
Mailing address
1380 NW WASHINGTON BLVD, HAMILTON, OH 45013-1208
(513) 829-7133
(513) 829-7134
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
34.011142
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0168393
—
OH
Enumeration date
01/26/2012
Last updated
01/19/2021
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