Individual
COLLIN GROTHAUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
AGACNP, CNP
Contact information
Practice address
630 E RIVER ST, ELYRIA, OH 44035-5902
(440) 329-7500
Mailing address
308 TAFT ST, COLUMBUS GROVE, OH 45830-1122
(567) 204-4499
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
0032129
OH
Other
Enumeration date
11/09/2022
Last updated
11/09/2022
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