Organization
RONALD E GROW INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RONALD E GROW DO (OWNER)
(574) 289-5049
Entity
Organization
Contact information
Practice address
810 W INDIANA AVE, SOUTH BEND, IN 46613-1828
(574) 289-5049
(574) 288-0840
Mailing address
810 W INDIANA AVE, SOUTH BEND, IN 46613-1828
(574) 289-5049
(574) 288-0840
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
02000101A
IN
Other
Enumeration date
07/23/2007
Last updated
07/23/2007
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