NPI Profile for GERALD E GRONBORG in MCCONNELLSBURG, PA.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Primary Podiatric Medicine |
213EP1101X | 48 | Podiatry | |
Podiatrist |
213E00000X | 48 | Podiatry | |
Radiology |
213ER0200X | 48 | Podiatry | |
Surgery, Foot & Ankle |
213ES0103X | 48 | Podiatry |
| NPI # | 1902884950 |
|
| Status | Active | |
| Credentials | DPM (Doctor of Podiatric Medicine) | |
| Entity | Individual | |
| Enumeration date | 01/09/2006 | |
| Last updated | 08/22/2025 - About 10 months ago | |
| Sole proprietor 1 | No | |
| Identifiers |
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| Hospital affiliation(s) |
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GERALD E GRONBORG
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