Individual
DR. MICHAEL GRONBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
9445 N BEACH ST, FORT WORTH, TX 76244-9059
(817) 741-5437
(888) 400-5412
Mailing address
12461 TIMBERLAND BLVD, SUITE 309, FORT WORTH, TX 76244-5213
(817) 741-5437
(888) 400-5412
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
036094205
IL
208000000X
Pediatrics Physician
Primary
Q0449
TX
Other
Enumeration date
05/04/2006
Last updated
04/20/2022
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