Individual
CHAD AARON GROTEGUT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
MEDICAL CENTER BLVD, WINSTON SALEM, NC 27157-4597
(336) 716-2255
Mailing address
DUMC BOX 3967, DURHAM, NC 27710-0001
(919) 681-5220
(919) 681-7861
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
MD421884
PA
207VM0101X
Maternal & Fetal Medicine Physician
Primary
200001591
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0019599320001
—
PA
Enumeration date
10/11/2005
Last updated
11/02/2020
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