Wendell A Grogan in Belfast - Clinical Neurophysiology

Wendell A Grogan - NPI 1063502912

Wendell A Grogan is a Clinical Neurophysiology in Belfast, Maine. Wendell A Grogan practices all healthcare services and medical treatments related to Clinical Neurophysiology. The NPI Number for Wendell A Grogan is 1063502912. The last update date is 2015-09-28.

Wendell A Grogan's current location address is Po Box 9547, Belfast, Maine. You can contact this provider via phone number 2813595981 and fax number 2813593591. The mailing address for Wendell A Grogan is Po Box 9547, Belfast, Maine. To know further, please read the information below!

Provider Profile Detail

Provider Name Wendell A Grogan
Address Po Box 9547, Belfast, Maine
Phone Number 2813595981
Fax Number 2813593591
Sole Proprietor N
Credentials MD

NPI Number Detail

NPI Number 1063502912
Provider Enumeration Date 2006-10-13
Last Updated Date 2015-09-28

Provider Mailing Address Detail

Address Po Box 9547
City Belfast
State Maine (ME)
Post Code 49159547
Phone Number 2813595981
Fax Number 2813593591

Provider's Primary Taxonomy Detail

Speciality Clinical Neurophysiology
Taxonomy 2084N0600X
Licence No M0740
Definition:
Clinical Neurophysiology is a subspecialty with psychiatric or neurologic expertise in the diagnosis and management of central, peripheral, and autonomic nervous system disorders using combined clinical evaluation and electrophysiologic testing such

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
1590675 TX FIRST HEALTH
0026MH TX BLUE CROSS BLUE SHIELD
6700232 TX CIGNA
172034401 TX --
635873 TX MHHNP
4462988 TX AETNA

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FAQs about Wendell A Grogan

What is the unique provider identifier assigned to Wendell A Grogan?

The Wendell A Grogan has been issued the NPI (National Provider Identifier) 1063502912 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.

Could you provide the complete physical address where Wendell A Grogan is located?

The Wendell A Grogan is situated at the following address: Po Box 9547, Belfast, ME, 49159547.

What is the area of specialization for Wendell A Grogan, and what is the corresponding taxonomy classification code for this field?

The specialized field of practice for Wendell A Grogan is Clinical Neurophysiology, and the corresponding taxonomy code that categorizes this area of expertise is 2084N0600X.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1063502912 to Wendell A Grogan?

The Centers for Medicare & Medicaid Services originally issued the 1063502912 to Wendell A Grogan on 2006-10-13.

As of what date was the information regarding Wendell A Grogan, such as address, specialty, and other details, last verified and confirmed to be up-to-date?

The information related to Wendell A Grogan, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2015-09-28.

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