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Individual

STEVEN ALAN GROTHAUS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DO

Contact information

Practice address
4879 SR 68 SOUTH, WEST LIBERTY, OH 43357
(937) 465-8090
(937) 465-8191
Mailing address
4879 SR 68 SOUTH, WEST LIBERTY, OH 43357
(937) 465-8090
(937) 465-8191

Taxonomy

Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
34005168G
OH
208C00000X
Colon & Rectal Surgery Physician
Primary
34.005168
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0845581
OH
Enumeration date
08/30/2006
Last updated
11/03/2021
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