Individual
THOMAS J GROEGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
71 CHARLES ST, DEADWOOD, SD 57732
(605) 717-6431
(605) 719-6471
Mailing address
353 FAIRMONT BLVD, ATTEN MSS, RAPID CITY, SD 57701-7375
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
2775
SD
Other
Enumeration date
05/27/2005
Last updated
02/05/2013
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