DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

M JILL GRONHOLZ-DERO

Active

M JILL GRONHOLZ-DERO is a Family Medicine healthcare provider located in COEUR D ALENE, Idaho. NPI 1093700593 is currently active in the NPPES registry. Verify at CMS.

Family Medicine · COEUR D ALENE, ID

Registration Details

NPI Number
1093700593
Provider Type
Individual
Gender
Female
NPI Issued
Sep 12, 2005 (20.924798061699 yrs)
Last Updated
Jul 8, 2007
License
0-45 (ID)

Practice Information

Address
914 W IRONWOOD DR
COEUR D ALENE, ID, 838144927
Browse ID providers · Browse ZIP 83814
Phone
2087655922
Fax
2086643169
Primary Specialty
Family Medicine
207Q00000X

Other Family Medicine Providers in COEUR D ALENE, ID

Name Credential NPI
DR. MICHAEL G MEZA MD 1134124506
DR. STUART BRUCE DENNY MD 1871598862
NEIL L NEMEC M.D. 1407852270
ROBERT M MCFARLAND M.D. 1699771469
MICHAEL A DIXON M.D. 1205832953
RICHARD A MCLANDRESS M.D. 1194723908
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.