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NPI Verification

National Provider Identifier: 1053579599

Jeremy Ryan Grogg, M.d.

Individual Provider

Credentials

M.D.

Primary Specialty

Internal Medicine, Endocrinology, Diabetes & Metabolism

Code: 207RE0101X

Practice Address

11141 PARKVIEW PLAZA DR STE 311

FORT WAYNE, IN 468451714

Phone: 260-266-8840

NPI Enumeration Date

May 31, 2008

NPI Number

1053579599

Data sourced from the official CMS NPPES Registry. This information is provided by the Centers for Medicare & Medicaid Services and is updated regularly.

View on CMS NPPES Registry