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

KORT M GRONBACH, MD

Active Sole Proprietor

KORT M GRONBACH, MD is a Interventional Vascular Surgery healthcare provider located in WESTERVILLE, Ohio. NPI 1336191170 is currently active in the NPPES registry. Verify at CMS.

Interventional Vascular Surgery · WESTERVILLE, OH

Registration Details

NPI Number
1336191170
Provider Type
Individual
Gender
Male
NPI Issued
May 17, 2006 (20.057077511999 yrs)
Last Updated
Nov 2, 2016
Licenses
35086736 (OH)
35.086736 (OH)
35086736 (OH)
Sole Proprietor
Yes

Practice Information

Address
568 S CLEVELAND AVE
SUITE B
WESTERVILLE, OH, 430818959
Browse OH providers · Browse ZIP 43081
Phone
6148953344
Fax
6148953344
Primary Specialty
Interventional Vascular Surgery
208VP0014X
Additional Specialty
Vascular Surgery

Other Interventional Vascular Surgery Providers in WESTERVILLE, OH

Name Credential NPI
DR. ROBERT E GOULD DO 1972501724
DR. DUSTIN REYNOLDS M.D. 1801241757
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.