DR. John Suydam Groh, D.O.

NPI #1114296548 in Port Saint Lucie, Florida

Provider Information

NPI Number: 1114296548
Entity Type: Individual
Name: DR. John Suydam Groh, D.O.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Emergency Medicine
Credential: D.O.
Enumeration Date: Dec 13, 2011
Last Updated: Dec 13, 2011

Practice Location

Address: 1800 SE TIFFANY AVE
City: Port Saint Lucie
State: Florida
ZIP Code: 34952-7521
Phone: (772) 398-1990

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Emergency Medicine	207P00000X	Primary

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