TIMOTHY M GRONLIE, MD WICHITA, KS

Contact Information

TIMOTHY M GRONLIE, MD

550 N HILLSIDE
WICHITA, KS 67214-4910

Phone: 316-962-2900
Fax: 316-962-7815
Website:

Specialty	Taxonomy Code	Specialty Code	Provider Type
Vascular & Interventional Radiology	2085R0204X	94	Physician/Interventional Radiology
Diagnostic Radiology	2085R0202X	30	Physician/Diagnostic Radiology
Diagnostic Ultrasound	2085U0001X

Indicates primary specialty

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NPI Profile & details for TIMOTHY M GRONLIE · (Male)

NPI #	`1720007404`
Status	Active
Credentials	MD
Entity	Individual
Enumeration date	07/19/2006
Last updated	11/20/2023 - About 3 years ago
Sole proprietor ¹	No
Identifiers	KS License # 04-30825 KS License # 0430825 KS Medicaid 200385940C KS Other 105646 BCBS
Hospital affiliation(s)	SOUTH CENTRAL KS MED CENTER - (Acute Care) 6401 PATTERSON PARKWAY ARKANSAS CITY, KS 67005 WESLEY MEDICAL CENTER - (Acute Care) 550 N HILLSIDE STREET WICHITA, KS 67214

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

Contact Information

Specialty

Vascular & Interventional Radiology

Diagnostic Radiology

Diagnostic Ultrasound

NPI Profile & details for TIMOTHY M GRONLIE · (Male)

Reviews for TIMOTHY M GRONLIE

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