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Individual

DR. DONALD ALEXANDER GRONBECK

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
888 DAYTON ST UNIT 106, YELLOW SPRINGS, OH 45387-1778
(937) 767-1088
(937) 767-1022
Mailing address
888 DAYTON ST UNIT 106, YELLOW SPRINGS, OH 45387-1778
(937) 767-1088
(937) 767-1022

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
35.120593
OH
207QA0401X
Addiction Medicine (Family Medicine) Physician
35.120593
OH
390200000X
Student in an Organized Health Care Education/Training Program
OH

Other

Enumeration date
06/11/2009
Last updated
04/27/2021
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