Individual
DR. EARL WAYNE GROGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1102 DARTMOUTH RD, MADISON, WI 53705-2212
(608) 417-2100
Mailing address
1102 DARTMOUTH RD, MADISON, WI 53705-2212
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
26790
WI
207RC0001X
Clinical Cardiac Electrophysiology Physician
Primary
26790-020
WI
Other
Enumeration date
02/10/2006
Last updated
08/11/2021
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