Doctor Name: | DR. DONALD ALEXANDER GRONBECK |
NPI Number: | 1235366709 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.D. |
License Number: | |
Business Practice Address: | 1751 Olde Haley Dr Centerville, OH - 454586053 |
Business Phone Number: | 9377081426 |
Business Fax Number: | 8882991190 |
Mailing Address: | 888 Dayton St, YELLOW SPRINGS |
State: | OH |
Postal Code: | 453871736 |
Phone Number: | 9377671088 |
Fax Number: | 8882991190 |
NPI Enumeration Date: | 06/11/2009 |
NPI Last Update Date: | 03/25/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 390200000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | OH |
Taxonomy Type: | Student, Health Care |
Taxonomy Classification: | Student in an Organized Health Care Education/Training Program |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |