Organization
JAN C GROMADA DO FACOOG PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAN C GROMADA DO (OWNER)
(810) 245-9011
Entity
Organization
Contact information
Practice address
420 W NEPESSING ST, LAPEER, MI 48446-2150
(810) 245-9011
(810) 245-9012
Mailing address
420 W NEPESSING ST, LAPEER, MI 48446-2150
(810) 245-9011
(810) 245-9012
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
5101006098
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5101006098
LICENSE
MI
Enumeration date
12/26/2006
Last updated
03/07/2023
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