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Individual

ROBERT CECIL GROETKEN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PMHNP

Contact information

Practice address
4004 SUNSET DR W, UNIVERSITY PLACE, WA 98466-2405
(206) 251-1733
Mailing address
3800 BRIDGEPORT WAY W, STE A #302, UNIVERSITY PLACE, WA 98466-4495
(206) 251-1733

Taxonomy

Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
AP61247918
WA

Other

Enumeration date
12/02/2021
Last updated
12/15/2021
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