Russell A. Grootegoed, DPM
NPI #1194767921 in San Pedro, California
Provider Information
- NPI Number
- 1194767921
- Entity Type
- Individual
- Name
- Russell A. Grootegoed, DPM
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Podiatrist - Foot & Ankle Surgery
- Credential
- DPM
- Enumeration Date
- Jun 13, 2006
- Last Updated
- Apr 11, 2008
Practice Location
- Address
- 601 W 9TH ST
- City
- San Pedro
- State
- California
- ZIP Code
- 90731-3107
- Phone
- (310) 833-3583
Specialties & Taxonomy Codes
| Specialty |
|---|
| Podiatrist - Foot & Ankle Surgery — Foot & Ankle Surgery |
| Prosthetic/Orthotic Supplier |
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