GLENN CURTIS GROOM

MUNSTER, IN
NPI1871678144
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: IN  10000975A)
Additional Taxonomies207P00000X Emergency Medicine
(Licence: MI  5601004940)
363A00000X Physician Assistant
(Licence: MI  5601004940)
Enumeration Date2006-10-26
Last Update Date2024-05-07
Business Address
Mr. GLENN CURTIS GROOM P.A.
7905 CALUMET AVE
MUNSTER, IN 46321-2549
Phone number: 219-836-5800
Mailing Address
Mr. GLENN CURTIS GROOM P.A.
PO BOX 781076
DETROIT, MI 48278-1076
Phone number: 317-528-4800
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