Individual
GEORGE HOLBROOK GROBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
M4910
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000010002848
BLUE SHIELD
ID
05
—
002297900
—
ID
01
—
49106
BLUE CROSS
ID
Enumeration date
08/19/2006
Last updated
09/10/2009
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
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