SearchMichigan163W00000X

Ted Gronda

NPI 1467859892 · on the registry since 2014 · sole proprietor

Practice

Address
8180 Manchester Blvd
Grosse Ile, MI 48138
Phone
(734) 775-9136

Registry record

Primary taxonomy
163W00000X
163W00000X
Licence states on file
MI
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2014-12-01

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Michigan