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Individual

ROBERT GRONEMEYER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
901 MACARTHUR BLVD, ATTN ANESTHESIA, MUNSTER, IN 46321-2901
(219) 836-1600
(219) 513-1127
Mailing address
901 MACARTHUR BLVD, ATTN ANESTHESIA, MUNSTER, IN 46321-2901
(219) 836-7040
(219) 513-1127

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
01058576A
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000347205
ANTHEM BCBS
IN
05
036079113
IL
05
200502750A
IN
Enumeration date
05/10/2006
Last updated
05/19/2010
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