IndividualActive
Derek Groskreutz, MD
NPI 1558055889 · Vascular & Interventional Radiology Physician · Charleston, SC
Provider details
- NPI number
- 1558055889
- Entity type
- Individual
- Primary specialty
- Vascular & Interventional Radiology PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- LL89956 (SC)
Mailing address
169 Ashley Ave
Charleston, SC 29425-8905
Registry dates
- Enumerated
- 2023-06-08
- Last updated
- 2023-06-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.