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1750378022
EDWIN L. GROGAN
PADUCAH, KY
NPI
1750378022
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
208600000X Surgery
(Licence: KY 20054)
Additional Taxonomies
208600000X Surgery
(Licence: IL 036093089)
Enumeration Date
2005-10-03
Last Update Date
2013-03-06
Business Address
EDWIN L. GROGAN M.D.
1532 LONE OAK RD SUITE 235
PADUCAH, KY 42003-7913
Phone number: 270-442-9463
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Mailing Address
EDWIN L. GROGAN M.D.
PO BOX 636961
CINCINNATI, OH 45263-0001
Phone number: 513-981-5098
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