Individual
MORDECHAI GRONER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3525 ENSIGN RD NE STE F, OLYMPIA, WA 98506-5065
(360) 493-4001
(360) 438-2026
Mailing address
3525 ENSIGN RD NE STE F, OLYMPIA, WA 98506-5065
(360) 493-4001
(360) 438-2026
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
036148227
IL
207RI0200X
Infectious Disease Physician
Primary
MD61151650
WA
Other
Enumeration date
04/06/2011
Last updated
11/10/2021
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