NPI 1174885941

Tr Degroot MD PLLC

Organisation Otolaryngology Physician Grand Haven, MI

Practice location

Address: 1101 Columbus Ave, Grand Haven, MI 49417
Phone: (616) 847-3144
Fax: (616) 847-8416
Mailing address: 1101 Columbus Ave., Grand Haven, MI 49417

Authorised official

Name: Terry R Degroot
Title: Owner
Phone: (616) 502-1997

Registered specialties

Otolaryngology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207Y00000X Licence TD038705 (MI)

Other Otolaryngology providers in Michigan →

Registry record

NPI: 1174885941
Entity type: Organization
NPI issued: 8 Jun 2012
Record last updated: 5 Jun 2013

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.