Physician Assistant
Mr. GLENN GROOM P.A.
Identity confirmed via CMS NPPES · September 30, 2026 · A directory match is not a coverage approval.
Is this your practice? This listing was imported from public provider identity data (CMS NPPES) and has not yet been claimed. Claim this listing to confirm the practice details. Plan acceptance stays unpublished until the practice reports it.
Public record
NPI 1871678144 · enumerated 2006-10-26 · record updated 2024-05-07. Source: CMS NPPES. A listing is not a TRICARE network approval.
NPPES recordGoogle Maps Apple Maps OpenStreetMap
Addresses and phones
- Mailing address PO BOX 781076, DETROIT, MI, 48278-1076 (317) 528-4800 Google Maps Apple Maps OpenStreetMap
- Practice location 7905 CALUMET AVE, MUNSTER, IN, 46321-2549 (219) 836-5800 Fax (219) 836-3048 Google Maps Apple Maps OpenStreetMap
Specialties
- Emergency Medicine 207P00000X · License 5601004940 MI
- Physician Assistant 363A00000X · License 5601004940 MI
- Physician Assistant 363A00000X · Primary · License 10000975A IN
In this directory
Locations and evidence
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Practice location
MUNSTER, IN, 463212549
Accepting new patientsNot reportedCMS NPPES · September 30, 2026
Plan acceptance
- No published plan acceptance yet. Confirm directly with the practice, or claim this listing if it's yours.