Individual
DR. ERIC J GROEN
Active
Individual
DR. ERIC J GROEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
0102204288
VA
207R00000X
Internal Medicine Physician
Primary
2944
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1942521836
—
VA
05
—
Q021198
—
TN
Enumeration date
06/15/2010
Last updated
02/18/2025
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