Individual
JOHN R GROLICH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
BA
Contact information
Practice address
2855 MILLER DR STE 117, PLYMOUTH, IN 46563-8091
(574) 936-7777
(574) 341-1072
Mailing address
2855 MILLER DR STE 117, PLYMOUTH, IN 46563-8091
(574) 936-7777
(574) 341-1072
Taxonomy
Speciality
Code
Description
License number
State
146N00000X
Basic Emergency Medical Technician
Primary
—
IN
Other
Enumeration date
11/14/2019
Last updated
11/14/2019
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