M GRONHOLZ-DERO
Family Medicine
Active
Individual
NPI: 1093700593
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Family Medicine | 207Q00000X | Yes | 0-45 (ID) |
Frequently Asked Questions
NPI 1093700593 is the National Provider Identifier for M GRONHOLZ-DERO, a Family Medicine provider located in Coeur D Alene, ID. This NPI was enumerated on September 12, 2005.
M GRONHOLZ-DERO practices at 914 W IRONWOOD DR, Coeur D Alene, ID 83814.
Quick Facts
- NPI
- 1093700593
- Type
- Individual
- Enumerated
- Sep 12, 2005
- Last Updated
- Jul 8, 2007
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