Individual
THOMAS GRONER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
720 YOUNGSTOWN WARREN RD, NILES, OH 44446-3551
(330) 652-0535
(330) 652-0536
Mailing address
PO BOX 378, SANDUSKY, OH 44871-0378
(419) 626-6161
(419) 502-3511
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
36-00-3293
OH
213E00000X
Podiatrist
SC-00-5803
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
001627038
HIGHMARK
—
05
—
1010551400001
—
PA
01
—
1065838
WORKERS COMP
WV
05
—
2478886
—
OH
05
—
3810000226
—
WV
01
—
7538513
AETNA
—
Enumeration date
07/01/2005
Last updated
02/21/2019
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