Doctor Name: | JAN C GROMADA |
NPI Number: | 1841212701 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | DO |
License Number: | JG006098 |
Business Practice Address: | 420 Lake Nepessing Rd Lapeer, MI - 484462961 |
Business Phone Number: | 8102459011 |
Business Fax Number: | |
Mailing Address: | 420 Lake Nepressing Rd, LAPEER |
State: | MI |
Postal Code: | 48446 |
Phone Number: | 8102459011 |
Fax Number: | |
NPI Enumeration Date: | 07/23/2006 |
NPI Last Update Date: | 12/10/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 207V00000X |
License Number: | JG006098 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MI |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Obstetrics & Gynecology |
Taxonomy Specialization: | |
Taxonomy Definition: | An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |