Individual
TED GRONDA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
8180 MANCHESTER BLVD, GROSSE ILE, MI 48138-1866
(734) 775-9136
Mailing address
8180 MANCHESTER BLVD, GROSSE ILE, MI 48138-1866
(734) 775-9136
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
4704308135
MI
Other
Enumeration date
12/01/2014
Last updated
12/01/2014
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