Individual
RODNEY E GROLMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1550 S PIONEER WAY, SUITE 370, MOSES LAKE, WA 98837-4613
(410) 218-8059
Mailing address
1550 S PIONEER WAY, SUITE 370, MOSES LAKE, WA 98837-4613
(410) 218-8059
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
C53617
CA
208600000X
Surgery Physician
Primary
MD60050963
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1334455
AETNA HMO
MD
01
—
145724700
FEDERAL WORKMAN'S COMP
MD
05
—
402277700
—
MD
01
—
7843490
AETNA PPO
MD
01
—
887BAA62011004
CAREFIRST
MD
01
—
K5850005
CAREFIRST DC
DC
01
—
P00354284
RR MEDICARE
MD
Enumeration date
10/18/2005
Last updated
08/06/2013
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