Individual
MATTHEW GROENWALD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3623 LATROBE DR STE 216, CHARLOTTE, NC 28211-2117
(704) 332-1291
(704) 926-1832
Mailing address
PO BOX 221249, CHARLOTTE, NC 28222-1249
(704) 332-1291
(704) 926-1832
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
2024-03688
NC
2085R0202X
Diagnostic Radiology Physician
U4998
TX
2085R0204X
Vascular & Interventional Radiology Physician
036149623
IL
Other
Enumeration date
04/15/2013
Last updated
01/20/2025
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