Individual
EUGENE GROYSMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1640 FLOSSIE DR, GREENDALE, IN 47025-8424
(855) 227-4230
(812) 926-1668
Mailing address
PO BOX 635283, CINCINNATI, OH 45263-5283
(855) 227-4230
(812) 926-1668
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
01058380
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200507590
—
IN
Enumeration date
11/02/2005
Last updated
06/19/2019
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