| Michael J. Grogan M.d. Pllc | |
|
51 Cavalier Blvd Suite 230 Florence KY 41042-3966 | |
| (859) 586-0111 | |
| Not Available |
| Full Name | Michael J. Grogan M.d. Pllc |
|---|---|
| Speciality | Family Medicine |
| Location | 51 Cavalier Blvd, Florence, Kentucky |
| Authorized Official Name and Position | Michael Joseph Grogan (OWNER) |
| Authorized Official Contact | 8595860111 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Michael J. Grogan M.d. Pllc 51 Cavalier Blvd Suite 230 Florence KY 41042-3966 Ph: (859) 586-0111 | Michael J. Grogan M.d. Pllc 51 Cavalier Blvd Suite 230 Florence KY 41042-3966 Ph: (859) 586-0111 |
| NPI Number | 1134394281 |
|---|---|
| Provider Enumeration Date | 04/29/2008 |
| Last Update Date | 08/11/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134394281 | NPI | - | NPPES |
| 7395 | Other | KY | MEDICARE PTAN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 21980 (Kentucky) | Primary |
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