# DR. PETER MICHAEL GRONDZIOWSKI

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1447250469
- **Gender:** Man
- **Credential:** MD

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RE0101X | Endocrinology, Diabetes & Metabolism Physician | MD044862L | PA | Yes |

## Other

- **Enumeration date:** 08/01/2005
- **Last updated:** 08/26/2014

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 0017395540012 | — | PA |
| 05 | — | 2005524-000 | — | WV |
| 05 | — | 2371071 | — | OH |