National Provider Identifier Database

TIMOTHY M GRONLIE, MD – NPI #1720007404
Vascular & Interventional Radiology

A radiologist who diagnoses and treats diseases by various radiologic imaging modalities. These include fluoroscopy, digital radiography, computed tomography, sonography and magnetic resonance imaging.


Contact Information

TIMOTHY M GRONLIE, MD
550 N HILLSIDE
WICHITA, KS67214-4910
Phone: 316-962-2900
Fax: 316-962-7815
Website:
Specialty Taxonomy Code
* Vascular & Interventional Radiology 2085R0204X
Diagnostic Radiology 2085R0202X
Diagnostic Ultrasound 2085U0001X

* Indicates primary specialty

NPI Profile & details for TIMOTHY M GRONLIE

NPI Number 1720007404
Credentials MD
Entity Individual
Enumeration date 07/19/2006
Last updated 11/20/2023 - About 3 years ago
Sole proprietor1 No
Identifiers
  • KS License #: 04-30825
  • KS License #: 0430825
  • KS Medicaid: 200385940C
  • KS Other: 105646 BCBS
Hospital affiliation n/a

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.

Reviews for TIMOTHY M GRONLIE, MD

There are currently no reviews for TIMOTHY M GRONLIE, MD


NPIdb - Home
v2.201