Kevin J Grogan, C-PED

NPI #1477636868 in Dubuque, Iowa

Provider Information

NPI Number: 1477636868
Entity Type: Individual
Name: Kevin J Grogan, C-PED
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Specialist
Credential: C-PED
Enumeration Date: Oct 23, 2006
Last Updated: Jul 9, 2007

Practice Location

Address: 3330 ASBURY RD
City: Dubuque
State: Iowa
ZIP Code: 52002-2900
Phone: (563) 557-1651

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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