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Contact Information

JOHN B GRONER, MD
4309 W 27TH PL STE 202
KENNEWICK, WA99338
 Phone: 509-591-4966
 Fax: 509-396-5033
 Website: https://revitalizessc.com
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pain Medicine

2081P2900X 25 Physician/Physical Medicine and Rehabilitation
 

Neuromuscular Medicine

2081N0008X 25 Physician/Physical Medicine and Rehabilitation
Indicates primary specialty

NPI Profile & details for JOHN B GRONER · (Male)

NPI # 1184787491
Status Active
Credentials MD
Entity Individual
Enumeration date 12/18/2006
Last updated 08/12/2021 - About 5 years ago
Sole proprietor 1 No
Identifiers
  • OR License # MD156621
  • WA License # MD00049437
Hospital affiliation(s)
  • GOOD SHEPHERD MEDICAL CENTER - (Critical Access)
    610 NW 11TH STREET
    HERMISTON, OR 97838
  • KADLEC REGIONAL MEDICAL CENTER - (Acute Care)
    888 SWIFT BLVD
    RICHLAND, WA 99352
  • KENNEWICK GENERAL HOSPITAL - (Acute Care)
    900 SOUTH AUBURN STREET
    KENNEWICK, WA 99336
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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