Jeremy Ryan Grogg
Endocrinologist (Diabetes Doctor)
11141 Parkview Plaza Suite 310
Fort Wayne
, Indiana 46845-1714
Jeremy Ryan Grogg
Endocrinologist (Diabetes Doctor)
11141 Parkview Plaza Suite 310
Fort Wayne
, Indiana 46845-1714
(260) 458-5664
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About
Features
Specialties
- Endocrinologist (Diabetes Doctor)
Languages spoken
- English
Location
First Address
- Jeremy Ryan Grogg
- 1234 E Dupont Rd Suite 1
- Fort Wayne, IN
- Zip : 46825-1545
- Fax : (260) 458-5664
- Phone : (260) 373-9728
Second Address
- Jeremy Ryan Grogg
- 11141 Parkview Plaza Suite 310
- Fort Wayne, IN
- Zip : 46845-1714
- Fax : (260) 266-8829
- Phone : (260) 266-8820
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207RE0101X | Endocrinologist (Diabetes Doctor) | 01066660A | IN |
National Provider Identifier
| NPI | 1053579599 |
|---|---|
| Provider Name | Jeremy Ryan Grogg |
| First Address | Fort Wayne, IN 46825-1545 |
| Second Address | Fort Wayne, IN 46845-1714 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 31/05/2008 |
| Last Update Date | 25/02/2013 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.