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STEPHANIE GRONDAHL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DO

Contact information

Practice address
1200 E MICHIGAN AVE STE 460, LANSING, MI 48912-1897
(517) 364-2097
(517) 364-3336
Mailing address
6500 38TH AVE N, ST PETERSBURG, FL 33710-1629

Taxonomy

Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
UO3557
FL

Other

Enumeration date
02/02/2014
Last updated
03/17/2018
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