Individual
DR. GERALD C GROGGEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
931 HIGHLAND BLVD- SUITE 3260, BOZEMAN, MT 59715
(406) 522-2410
(406) 556-5198
Mailing address
931 HIGHLAND BLVD STE 3260, BOZEMAN, MT 59715-6912
(406) 522-2410
(406) 556-5198
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
12522
MT
207RN0300X
Nephrology Physician
19770
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
47078557528
—
NE
Enumeration date
05/04/2006
Last updated
12/29/2011
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