DR. M.D. Gregory Richard Grotz, NPI 1033189105
Diagnostic Radiology Physician in Belfast, ME, US

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NPI number: what is it?

The NPI, or National Provider Identifier, is a non-repeatable number for health care providers. The NPI always consists of 10 digits and is used for administrative and financial procedures. The NPI wa...

NPI 1033189105
NPI Entity Type Individual
Provider Name DR. M.D. Gregory Richard Grotz
Enumeration Date September 30, 2009
Last Update Date September 30, 2009
Certification Date September 30, 2009
Provider Location Address 118 Northport Ave, Belfast, ME, US
Provider Mailing Address 1875 University Ave, Po Box 1655, Dubuque, IA, US, 520041655
Gender Male
Is Sole Proprietor? No
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Primary Taxonomy

Taxonomy Code

2085R0202X

Taxonomy Name Diagnostic Radiology Physician
Classification

Radiology

Group

Allopathic & Osteopathic Physicians

License No. MD18651
License State ME
Description A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

Business Address

DR. M.D. Gregory Richard Grotz
118 Northport Ave

Belfast, ME, US

Phone: 207-784-2554
Fax: 207-777-1439

Mailing Address

DR. M.D. Gregory Richard Grotz
1875 University Ave
Po Box 1655
Dubuque, IA, US
ZIP 520041655
Phone: 563-556-6895
Fax: 563-556-3618

Secondary Taxonomies

Taxonomy Code Group Classification License No. State Primary?

2085R0202X

Allopathic & Osteopathic Physicians

Radiology

063098176 IL No

2085R0202X

Allopathic & Osteopathic Physicians

Radiology

40136020 WI No

2085R0202X

Allopathic & Osteopathic Physicians

Radiology

32391 IA No

Other Identifiers

Identifier Identifier State Identifier Issuer Type/Code
1033189105 ME MEDICAID 05
2175521 IA MEDICAID 05

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