Dr HENRY E DEGROOT is a male medical professional, specializing in Dermatology. He graduated in 1994 from Indiana University School Of Medicine.
196 WIKIUP DR
SANTA ROSA
CA
954037773
Tel:
| Npi | 1346260411 |
| Pac Id | 2961393863 |
| Professional Enrollment Id | I20090911000033 |
| Last Name | DEGROOT |
| First Name | HENRY |
| Middle Name | E |
| Suffix | |
| Gender | M |
| Credential | |
| Medical School Name | INDIANA UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 1994 |
| Primary Specialty | DERMATOLOGY |
| Secondary Specialty 1 | |
| Secondary Specialty 2 | |
| Secondary Specialty 3 | |
| Secondary Specialty 4 | |
| All Secondary Specialties | |
| Organization Legal Name | |
| Group Practice Pac Id | |
| Number Of Group Practice Members | |
| Line 1 Street Address | 196 WIKIUP DR |
| Line 2 Street Address | |
| Marker Of Address Line 2 Suppression | |
| City | SANTA ROSA |
| State | CA |
| Zip Code | 954037773 |
| Phone Number | |
| Hospital Affiliation Ccn 1 | 050301 |
| Hospital Affiliation Lbn 1 | ADVENTIST HEALTH UKIAH VALLEY |
| Hospital Affiliation Ccn 2 | 051310 |
| Hospital Affiliation Lbn 2 | ADVENTIST HEALTH HOWARD MEMORIAL |
| Hospital Affiliation Ccn 3 | 051325 |
| Hospital Affiliation Lbn 3 | MENDOCINO COAST DISTRICT HOSPITAL |
| Hospital Affiliation Ccn 4 | |
| Hospital Affiliation Lbn 4 | |
| Hospital Affiliation Ccn 5 | |
| Hospital Affiliation Lbn 5 | |
| Professional Accepts Medicare Assignment | Y |
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