Individual
MR. BRIAN MICHAEL GRONEWOLD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.ED.,ATC, LAT, CSCS
Contact information
Practice address
1601 CENTER ST, MOBILE, AL 36604-1541
(251) 665-8200
(251) 665-8210
Mailing address
PO BOX 746450, ATLANTA, GA 30374-6450
(251) 434-3626
(251) 445-2464
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
994
AL
363A00000X
Physician Assistant
Primary
PA.1896
AL
Other
Enumeration date
08/25/2009
Last updated
01/27/2022
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