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Individual

KATHERINE GROVER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DO

Contact information

Practice address
RR 1 BOX 11, MACHIAS, ME 04654-9758
(207) 255-3356
(207) 255-0289
Mailing address
RR 1 BOX 11, MACHIAS, ME 04654-9758
(207) 255-3356
(207) 255-0289

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
1809
ME

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
100003
ANTHEM
ME
Enumeration date
01/10/2006
Last updated
07/08/2007
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