Individual
TANNER GRONOWSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
4535 DRESSLER RD NW, CANTON, OH 44718
(855) 687-0618
Mailing address
4535 DRESSLER RD NW, CANTON, OH 44718-2545
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
34.012005
OH
207P00000X
Emergency Medicine Physician
Primary
DO213513
OR
207P00000X
Emergency Medicine Physician
O-1261
ID
Other
Enumeration date
03/02/2013
Last updated
04/25/2023
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